Provider Demographics
NPI:1770880155
Name:HEALTHY BEGINNINGS LACTATION
Entity type:Organization
Organization Name:HEALTHY BEGINNINGS LACTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELSEY
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, IBCLC
Authorized Official - Phone:559-425-6455
Mailing Address - Street 1:19410 HIGHWAY 99
Mailing Address - Street 2:SUITE A-212
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-5102
Mailing Address - Country:US
Mailing Address - Phone:559-425-6455
Mailing Address - Fax:
Practice Address - Street 1:1530 N 115TH ST
Practice Address - Street 2:SUITE 205A
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-8421
Practice Address - Country:US
Practice Address - Phone:559-424-6455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-21
Last Update Date:2013-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN 00085501163WL0100X
WARN 00123681163WL0100X
332B00000X
WARN 00155625163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty