Healthcare Provider Details

I. General information

NPI: 1316507445
Provider Name (Legal Business Name): MCKALE ASHLEY FLEMING BA, IBCLC, LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2019
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 DAHLONEGA ST STE B1804
CUMMING GA
30040-8217
US

IV. Provider business mailing address

327 DAHLONEGA ST STE B1804
CUMMING GA
30040-8217
US

V. Phone/Fax

Practice location:
  • Phone: 229-360-6676
  • Fax: 470-600-0925
Mailing address:
  • Phone: 229-360-6676
  • Fax: 470-600-0925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT006471
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-302590
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: