Healthcare Provider Details

I. General information

NPI: 1114855335
Provider Name (Legal Business Name): EMBRACE LACTATION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6451 S 28TH WEST AVE
TULSA OK
74132-1340
US

IV. Provider business mailing address

6451 S 28TH WEST AVE
TULSA OK
74132-1340
US

V. Phone/Fax

Practice location:
  • Phone: 405-202-9426
  • Fax:
Mailing address:
  • Phone: 405-202-9426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State

VIII. Authorized Official

Name: MRS. RACHELLE SMITH
Title or Position: LACTATION CONSULTANT
Credential: BSN, RN, IBCLC
Phone: 405-202-9426