Ancient Roots Midwifery & Doula Care
Organization Active NPI Lactation Consultant (Non-RN) · Floyd, VA
NPI 1083981625 · NPPES record last updated Dec 9, 2022
Key facts
- NPI
- 1083981625
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Lactation Consultant (Non-RN) 174N00000X
- Legal business name
- ANCIENT ROOTS MIDWIFERY & DOULA CARE
- Practice address
- 829 Bethlehem Church Rd NE
Floyd, VA 24091-2256 - Phone
- (540) 285-0067
- NPI assigned
- Nov 28, 2011
- Organization subpart
- No
Authorized official
- Name
- Tara Daystar, BA, IBCLC, CPM
- Title
- Lactation Consultant
- Phone
- (540) 285-0067
Practitioners 1
-
Tara Daystar, B.A. CPM, IBCLC
National Provider Directory
Locations
829 Bethlehem Church Rd NE
Floyd, VA 24091
Phone (540) 285-0067
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) |
174N00000X | Yes | ||
| Midwife |
176B00000X | 0129000069 | VA |
Addresses
Primary practice location
829 Bethlehem Church Rd NE
Floyd, VA 24091-2256
Mailing address
829 Bethlehem Church Rd NE
Floyd, VA 24091-2256
Phone (540) 285-0067
Other names
- New River Lactation
Other providers in Floyd, VA
- 237 Franklin Pike Road SE Opco LLC
- Aeriecare, LLC
- Robin Patience Akers
- Roy Robert Andrews
- Rhonda Howery Arthur
- Brent C Bailey
- Chasity A Barrett
- Robert Battle
All providers in Floyd, VA · Lactation Consultant (Non-RN) in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.