Healthcare Provider Details

I. General information

NPI: 1154254167
Provider Name (Legal Business Name): FAMILIA SEED, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4045 FIVE FORKS TRICKUM RD SW STE B9132
LILBURN GA
30047-2538
US

IV. Provider business mailing address

4045 FIVE FORKS TRICKUM RD SW STE B9132
LILBURN GA
30047-2538
US

V. Phone/Fax

Practice location:
  • Phone: 770-835-5454
  • Fax:
Mailing address:
  • Phone: 770-835-5454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: MRS. YAHAIRA LEDGISTER
Title or Position: CEO/DOULA
Credential:
Phone: 770-835-5454