Courtney Bint, IBCLC

Individual provider Active NPI Lactation Consultant (Non-RN) · Electra, TX

NPI 1043072804 · NPPES record last updated Jan 26, 2024

Key facts

NPI
1043072804
Entity type
Individual (NPI type 1)
Primary specialty
Lactation Consultant (Non-RN) 174N00000X
License
L-311894 (TX)
Practice address
14412 Lucy Rd
Electra, TX 76360-7931
Phone
(940) 250-8766
NPI assigned
Jan 26, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
L-311894TXMDLactation Consultant (Non-RN)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-311894 TX Yes

Addresses

Primary practice location

14412 Lucy Rd
Electra, TX 76360-7931

Mailing address

14412 Lucy Rd
Electra, TX 76360-7931
Phone (940) 250-8766

Other providers in Electra, TX

All providers in Electra, TX · Lactation Consultant (Non-RN) in Texas

Sources for this page

Verify at the official NPI Registry.