MEDICARE: HONEYSUCKLE LACTATION CONSULTANTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	163WL0100X	Lactation Consultant (Registered Nurse)
2	133V00000X	Registered Dietitian
3	174N00000X	Lactation Consultant (Non-RN)

General Provider Information

NPI Number	:	1922964097
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HONEYSUCKLE LACTATION CONSULTANTS LLC

Provider Business Mailing Address
First Line	:	242 S MAIN ST STE 210B
Second Line	:
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540-6051
Country	:	US
Telephone Number	:	919-822-2992
Fax Number	:

Provider Business Practice Location Address
First Line	:	242 S MAIN ST STE 210B
Second Line	:
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540-6051
Country	:	US
Telephone Number	:	919-822-2992
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SAMANTHA VITABILE
Credential	:	RN, BSN, IBCLC
Telephone Number	:	919-822-2992

Provider Enumeration Date	:	01/01/2026
Last Update Date	:	01/06/2026

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