Provider Demographics
NPI:1184048944
Name:ATLANTA BREASTFEEDING CONSULTANTS, LLC
Entity type:Organization
Organization Name:ATLANTA BREASTFEEDING CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:S
Authorized Official - Last Name:ALDRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:JD, IBCLC
Authorized Official - Phone:404-590-6455
Mailing Address - Street 1:951 W CONWAY DR NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-3637
Mailing Address - Country:US
Mailing Address - Phone:404-590-6455
Mailing Address - Fax:847-496-8289
Practice Address - Street 1:5252 ROSWELL RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1969
Practice Address - Country:US
Practice Address - Phone:404-590-6455
Practice Address - Fax:847-496-8289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-13
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty