Healthcare Provider Details

I. General information

NPI: 1396522637
Provider Name (Legal Business Name): BIRTHSTONE BREASTFEEDING & WELLNESS CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2023
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

494 W MAIN ST
SYLVA NC
28779-5545
US

IV. Provider business mailing address

494 W MAIN ST
SYLVA NC
28779-5545
US

V. Phone/Fax

Practice location:
  • Phone: 770-519-2903
  • Fax: 704-209-7352
Mailing address:
  • Phone: 828-331-1592
  • Fax: 704-209-7352

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 Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: BRANDI HARRISON
Title or Position: OWNER, FOUNDER
Credential: BS, IBCLC
Phone: 770-519-2903