Healthcare Provider Details

I. General information

NPI: 1679138291
Provider Name (Legal Business Name): HOTTYA CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2019
Last Update Date: 03/23/2024
Certification Date: 03/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1753 E BROADWAY RD # 411
TEMPE AZ
85282-2081
US

IV. Provider business mailing address

1753 E BROADWAY RD # 411
TEMPE AZ
85282-2081
US

V. Phone/Fax

Practice location:
  • Phone: 480-420-8567
  • Fax: 480-422-3442
Mailing address:
  • Phone: 480-420-8567
  • Fax: 480-422-3442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. MICHELLE N HOTTYA
Title or Position: MEMBER
Credential: IBCLC, RLC
Phone: 480-420-8567