MEDICARE: THE MILK MIND LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174N00000X	Lactation Consultant (Non-RN)

General Provider Information

NPI Number	:	1417880147
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE MILK MIND LLC

Provider Business Mailing Address
First Line	:	9308 BECKETT LN APT 4205
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76123-2246
Country	:	US
Telephone Number	:	718-207-5110
Fax Number	:

Provider Business Practice Location Address
First Line	:	9308 BECKETT LN APT 4205
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76123-2246
Country	:	US
Telephone Number	:	718-207-5110
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	TARYN SLOAN
Credential	:	IBCLC
Telephone Number	:	254-978-5868

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “THE MILK MIND LLC ” Practice Location

Language	Start Address	Practice Location

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