Active NPI
Clementina Health LLC
- Lactation Consultant (Non-RN)
- Phoenixville, PA
National Provider Identifier
1366319790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- Legal business name
- CLEMENTINA HEALTH LLC
- Practice address
- 205 Develin Dr
Phoenixville, PA 19460-1519 - Phone
- (610) 554-9597
- NPI assigned
- Oct 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maraiza Thiago-Munoz, IBCLC
- Title
- Founder and Ceo
- Phone
- (610) 554-9597
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Nutritionist | 133N00000X | |||
| Lactation Consultant (Registered Nurse) | 163WL0100X | |||
| Lactation Consultant (Non-RN) | 174N00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
205 Develin Dr
Phoenixville, PA 19460-1519
Mailing address
205 Develin Dr
Phoenixville, PA 19460-1519
Phone (610) 554-9597
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Lactation Consultant (Non-RN)
- Phoenixville, PA
- NPI 1235006677
Lactation Consultant, Non-RN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761004800000",
"number": "1366319790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 DEVELIN DR",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194601519",
"telephone_number": "610-554-9597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 DEVELIN DR",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194601519",
"telephone_number": "610-554-9597"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEMENTINA HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-21",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A",
"authorized_official_last_name": "THIAGO-MUNOZ",
"authorized_official_first_name": "MARAIZA",
"authorized_official_title_or_position": "FOUNDER AND CEO",
"authorized_official_telephone_number": "610-554-9597",
"authorized_official_credential": "IBCLC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WL0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Lactation Consultant",
"state": null,
"license": null,
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenixville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.