Provider Demographics
NPI:1376056085
Name:BAYOU CITY BREASTFEEDING, LLC
Entity type:Organization
Organization Name:BAYOU CITY BREASTFEEDING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:HARRIS
Authorized Official - Last Name:JUEL
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:281-305-0411
Mailing Address - Street 1:3007 WOODLAND HILLS DR # 205
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-1403
Mailing Address - Country:US
Mailing Address - Phone:281-626-5271
Mailing Address - Fax:281-572-0627
Practice Address - Street 1:3100 RICHMOND AVE STE 302
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3015
Practice Address - Country:US
Practice Address - Phone:281-305-0411
Practice Address - Fax:844-440-2819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-16
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Multi-Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty