Healthcare Provider Details

I. General information

NPI: 1194639468
Provider Name (Legal Business Name): ALEJANDRA M SABILLON GALEAS CLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2708 S 48TH ST
SPRINGDALE AR
72762-6809
US

IV. Provider business mailing address

4530 CORY ST
SPRINGDALE AR
72762-1821
US

V. Phone/Fax

Practice location:
  • Phone: 407-747-3297
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number362678
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: