Healthcare Provider Details

I. General information

NPI: 1649819822
Provider Name (Legal Business Name): HEY MAMA LACTATION AND PERINATAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2020
Last Update Date: 01/05/2020
Certification Date: 01/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 LINCOLN DR
LAUREL SPRINGS NJ
08021-2856
US

IV. Provider business mailing address

38 LINCOLN DR
LAUREL SPRINGS NJ
08021-2856
US

V. Phone/Fax

Practice location:
  • Phone: 856-906-6504
  • Fax:
Mailing address:
  • Phone: 856-906-6504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State

VIII. Authorized Official

Name: CHANELLE D ANDREWS
Title or Position: CO-OWNER/
Credential:
Phone: 856-906-6504