Provider Demographics
NPI:1669066213
Name:YOUR BABY BUTLER, LLC
Entity type:Organization
Organization Name:YOUR BABY BUTLER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LACTATION CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:T
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:202-807-9293
Mailing Address - Street 1:7207 ANTOCK PL
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-4305
Mailing Address - Country:US
Mailing Address - Phone:202-807-9293
Mailing Address - Fax:202-601-0489
Practice Address - Street 1:7207 ANTOCK PL
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-4305
Practice Address - Country:US
Practice Address - Phone:202-807-9293
Practice Address - Fax:202-601-0489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-24
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty