Healthcare Provider Details
I. General information
NPI: 1427293612
Provider Name (Legal Business Name): 9 MONTHS & BEYOND, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/02/2008
Last Update Date: 12/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5056 THOROUGHBRED LN
BRENTWOOD TN
37027-4225
US
IV. Provider business mailing address
105 RUBEN RD
SPRING HILL TN
37174-9603
US
V. Phone/Fax
- Phone: 877-365-6262
- Fax:
- Phone: 877-365-6262
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WL0100X |
| Taxonomy | Lactation Consultant (Registered Nurse) |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: MRS.
LESLIE
MICHELLE
JONES
Title or Position: OWNER
Credential: IBCLC, RLC
Phone: 615-414-4982