Healthcare Provider Details

I. General information

NPI: 1285539247
Provider Name (Legal Business Name): WHOLE FAMILY LACTATION CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 CARDINAL LN
GANSEVOORT NY
12831-2346
US

IV. Provider business mailing address

32 CARDINAL LN
GANSEVOORT NY
12831-2346
US

V. Phone/Fax

Practice location:
  • Phone: 518-812-4232
  • Fax:
Mailing address:
  • Phone: 518-812-4232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. SARAH B SMITH
Title or Position: LACTATION CONSULTANT
Credential: IBCLC
Phone: 518-812-4232