Healthcare Provider Details

I. General information

NPI: 1912843269
Provider Name (Legal Business Name): ANN-SYDNEY HARVEY RDH, OMT, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

527 RAINSONG DR
CHARLESTON SC
29412-2772
US

IV. Provider business mailing address

527 RAINSONG DR
CHARLESTON SC
29412-2772
US

V. Phone/Fax

Practice location:
  • Phone: 804-677-8613
  • Fax:
Mailing address:
  • Phone: 804-677-8613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number4187
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-322172
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: