Provider Demographics
NPI:1649819822
Name:HEY MAMA LACTATION AND PERINATAL CARE
Entity type:Organization
Organization Name:HEY MAMA LACTATION AND PERINATAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/
Authorized Official - Prefix:
Authorized Official - First Name:CHANELLE
Authorized Official - Middle Name:D
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-906-6504
Mailing Address - Street 1:38 LINCOLN DR
Mailing Address - Street 2:
Mailing Address - City:LAUREL SPRINGS
Mailing Address - State:NJ
Mailing Address - Zip Code:08021-2856
Mailing Address - Country:US
Mailing Address - Phone:856-906-6504
Mailing Address - Fax:
Practice Address - Street 1:38 LINCOLN DR
Practice Address - Street 2:
Practice Address - City:LAUREL SPRINGS
Practice Address - State:NJ
Practice Address - Zip Code:08021-2856
Practice Address - Country:US
Practice Address - Phone:856-906-6504
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-05
Last Update Date:2020-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty