Healthcare Provider Details
I. General information
NPI: 1174314793
Provider Name (Legal Business Name): MILK AND MILESTONES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/14/2025
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
105 REED AVE
LEXINGTON SC
29072-2016
US
IV. Provider business mailing address
250 BRAEMAR DR
LEXINGTON SC
29073-9797
US
V. Phone/Fax
- Phone: 803-200-2338
- Fax: 864-572-4087
- Phone: 803-200-2338
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174N00000X |
| Taxonomy | Lactation Consultant (Non-RN) |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
KIRSTEN
NORTON
Title or Position: OWNER
Credential: MSP CCC-SLP, IBCLC
Phone: 803-200-2338