Healthcare Provider Details

I. General information

NPI: 1487439196
Provider Name (Legal Business Name): ARKANSAS BREASTFEEDING CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2023
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17005 CANTRELL RD
LITTLE ROCK AR
72223-4268
US

IV. Provider business mailing address

17005 CANTRELL RD
LITTLE ROCK AR
72223-4268
US

V. Phone/Fax

Practice location:
  • Phone: 501-491-0521
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: SONDRA RODOCKER
Title or Position: CLINIC DIRECTOR
Credential: IBCLC
Phone: 501-491-0521