Provider Demographics
NPI:1700644960
Name:DRINK DEEPLY LACTATION, LLC
Entity type:Organization
Organization Name:DRINK DEEPLY LACTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND SOLE EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:S
Authorized Official - Last Name:SWILLING
Authorized Official - Suffix:
Authorized Official - Credentials:BS RN IBCLC CLS
Authorized Official - Phone:865-297-2190
Mailing Address - Street 1:2420 CHUKAR RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-1007
Mailing Address - Country:US
Mailing Address - Phone:515-480-6184
Mailing Address - Fax:
Practice Address - Street 1:2420 CHUKAR RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-1007
Practice Address - Country:US
Practice Address - Phone:865-297-2190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty