Nourished Young, LLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Legal business name

NOURISHED YOUNG, LLC

Practice address

178 Laredo Dr Ste B
Decatur, GA 30030-2206

Phone

(404) 333-8658

NPI assigned

Dec 31, 2019

Last updated

Apr 2, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Laura Avery Young, IBCLCNPI 1568961001

Title

Owner

Phone

(404) 406-6436

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Intown Lactation, LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Avery Young, IBCLC

  • Lactation Consultant (Non-RN)
  • Atlanta, GA
  • NPI 1568961001

  Lactation Consultant, Non-RN

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1033758610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 GRANT ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303123146",
            "telephone_number": "404-406-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 LAREDO DR STE B",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302206",
            "telephone_number": "404-333-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHED YOUNG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-31",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "AVERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-406-6436",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LACTATION CONSULTING",
            "identifier": "LC000029",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intown Lactation, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Lactation Consultant (Non-RN) in Decatur, GA
• Providers in Decatur, GA by specialty
• Lactation Consultant (Non-RN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.