Healthcare Provider Details

I. General information

NPI: 1609730415
Provider Name (Legal Business Name): PEARLS CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17718 WEXFORD TER APT 203
JAMAICA NY
11432-2979
US

IV. Provider business mailing address

17718 WEXFORD TER APT 203
JAMAICA NY
11432-2979
US

V. Phone/Fax

Practice location:
  • Phone: 516-615-7119
  • Fax:
Mailing address:
  • Phone: 516-615-7119
  • 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: SIMONE JUNIOUS
Title or Position: OWNER
Credential: IBCLC, CD
Phone: 516-615-7119