Healthcare Provider Details

I. General information

NPI: 1033982632
Provider Name (Legal Business Name): MILK HONEY LACTATION SERVICES, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2023
Last Update Date: 11/06/2023
Certification Date: 11/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 E CAMDEN WYOMING AVE
CAMDEN DE
19934-1303
US

IV. Provider business mailing address

146 AUTUMN TER
MAGNOLIA DE
19962-3606
US

V. Phone/Fax

Practice location:
  • Phone: 302-249-8153
  • Fax:
Mailing address:
  • Phone: 302-249-8153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State

VIII. Authorized Official

Name: BRITTANIE SUTTON
Title or Position: OWNER
Credential: IBCLC
Phone: 302-249-8153