Healthcare Provider Details

I. General information

NPI: 1013637636
Provider Name (Legal Business Name): ALESHIA GARLAND IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2022
Last Update Date: 09/01/2022
Certification Date: 09/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4470 COUNTY ROAD 2208
GREENVILLE TX
75402-5013
US

IV. Provider business mailing address

4470 COUNTY ROAD 2208
GREENVILLE TX
75402-5013
US

V. Phone/Fax

Practice location:
  • Phone: 214-385-8172
  • Fax:
Mailing address:
  • Phone: 214-385-8172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-70384
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: