Healthcare Provider Details

I. General information

NPI: 1508663071
Provider Name (Legal Business Name): WOVEN LACTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2025
Last Update Date: 03/03/2025
Certification Date: 03/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6333 TELEGRAPH AVE STE 103
OAKLAND CA
94609-1359
US

IV. Provider business mailing address

6333 TELEGRAPH AVE STE 103
OAKLAND CA
94609-1359
US

V. Phone/Fax

Practice location:
  • Phone: 510-982-9214
  • Fax:
Mailing address:
  • Phone: 510-982-9214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State

VIII. Authorized Official

Name: LAURA HOWELLS
Title or Position: OWNER
Credential: IBCLC, CPPD
Phone: 510-982-9214