Provider Demographics
NPI:1740621754
Name:BETHESDA BREASTFEEDING, LLC
Entity type:Organization
Organization Name:BETHESDA BREASTFEEDING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:SARINYA
Authorized Official - Middle Name:
Authorized Official - Last Name:POCHAKILO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-873-5049
Mailing Address - Street 1:4927 AUBURN AVENUE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814
Mailing Address - Country:US
Mailing Address - Phone:301-801-9070
Mailing Address - Fax:
Practice Address - Street 1:4927 AUBURN AVENUE
Practice Address - Street 2:SUITE 100
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814
Practice Address - Country:US
Practice Address - Phone:301-943-9293
Practice Address - Fax:240-235-8327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-08
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Multi-Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty