Healthcare Provider Details

I. General information

NPI: 1356001283
Provider Name (Legal Business Name): NOURISH OUR SEEDS L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2021
Last Update Date: 02/05/2024
Certification Date: 02/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 NORTON AVENUE
HAMDEN CT
06514-0651
US

IV. Provider business mailing address

30 NORTON AVENUE
HAMDEN CT
06514
US

V. Phone/Fax

Practice location:
  • Phone: 860-929-9919
  • Fax:
Mailing address:
  • Phone: 475-306-4810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TAYLOR SMITH
Title or Position: CEO
Credential: IBCLC
Phone: 475-306-4810