Provider Demographics
NPI:1205629532
Name:LACTATION COUNSELING SERVICES LLC.
Entity type:Organization
Organization Name:LACTATION COUNSELING SERVICES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:RACHAEL
Authorized Official - Last Name:BIRKENHAUER
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:614-717-8487
Mailing Address - Street 1:5002 RANDALL PKWY STE 102
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-2845
Mailing Address - Country:US
Mailing Address - Phone:614-717-8487
Mailing Address - Fax:910-408-7441
Practice Address - Street 1:5002 RANDALL PKWY STE 102
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-2845
Practice Address - Country:US
Practice Address - Phone:614-717-8487
Practice Address - Fax:910-408-7441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty