Provider Demographics
NPI:1992184949
Name:MILK AND HONEY, FEEDING AND SPEECH SERVICES, LLC
Entity Type:Organization
Organization Name:MILK AND HONEY, FEEDING AND SPEECH SERVICES, LLC
Other - Org Name:MILK AND HONEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SPEECH THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:NINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ISAAC
Authorized Official - Suffix:
Authorized Official - Credentials:SLP, CCC, IBCLC
Authorized Official - Phone:520-975-9495
Mailing Address - Street 1:3844 E PIMA ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-3308
Mailing Address - Country:US
Mailing Address - Phone:520-349-7745
Mailing Address - Fax:
Practice Address - Street 1:3844 E PIMA ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-3308
Practice Address - Country:US
Practice Address - Phone:520-349-7745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-22
Last Update Date:2015-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN161795163WL0100X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Multi-Specialty