Healthcare Provider Details

I. General information

NPI: 1740782630
Provider Name (Legal Business Name): HARMONY LACTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2018
Last Update Date: 03/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3517 BOSCO RD
NEW HILL NC
27562-9111
US

IV. Provider business mailing address

3517 BOSCO RD
NEW HILL NC
27562-9111
US

V. Phone/Fax

Practice location:
  • Phone: 919-610-8089
  • Fax:
Mailing address:
  • Phone: 919-610-8089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-41888
License Number StateNC

VIII. Authorized Official

Name: NICOLA SINGLETARY
Title or Position: OWNER
Credential: PHD, IBCLC
Phone: 919-610-8089