Provider Demographics
NPI:1831711183
Name:MINDTHEMILK LACTATION SUPPORT LLC
Entity type:Organization
Organization Name:MINDTHEMILK LACTATION SUPPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LACTATION CONSULTANT, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:GREENMAN
Authorized Official - Last Name:HOWINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:770-870-1840
Mailing Address - Street 1:4520 BARTOW CARVER RD SE APT 3
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30102-2669
Mailing Address - Country:US
Mailing Address - Phone:770-870-1840
Mailing Address - Fax:
Practice Address - Street 1:4520 BARTOW CARVER RD SE APT 3
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30102-2669
Practice Address - Country:US
Practice Address - Phone:770-870-1840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-09
Last Update Date:2020-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty