Organization Active NPI

Gwinnett Breastfeeding, LLC

  • Lactation Consultant (Non-RN)
  • Duluth, GA
National Provider Identifier
1750993655
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Legal business name
GWINNETT BREASTFEEDING, LLC
Practice address
3400 McClure Bridge Rd
Building C, Unit a
Duluth, GA 30096-3461
Phone
(678) 750-3121
NPI assigned
Aug 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Authorized official

Name
Mrs. Stacy-Ann Latoya Louie, IBCLCNPI 1699308668
Title
Lactation Consultant/Owner
Phone
(678) 750-3121

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193200000X MULTI-SPECIALTY GROUP 174N00000X Primary

Addresses

Primary practice location

3400 McClure Bridge Rd
Building C, Unit a
Duluth, GA 30096-3461

Mailing address

3400 McClure Bridge Rd
Building C, Unit a
Duluth, GA 30096-3461
Phone (678) 750-3121

Other practice location 1

3160 Main St Ste 102
Duluth, GA 30096-3461
Phone (678) 750-3121

Other names 1

  • Tent Birth and Breastfeeding Services, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

3160 Main St
Ste 102
Duluth, GA 30096
Phone (470) 426-5281

3400 McClure Bridge Rd
Bldg C
Duluth, GA 30096
Phone (678) 750-3121

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1750993655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 MCCLURE BRIDGE RD",
            "address_2": "BUILDING C, UNIT A",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963461",
            "telephone_number": "678-750-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 MCCLURE BRIDGE RD",
            "address_2": "BUILDING C, UNIT A",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963461",
            "telephone_number": "678-750-3121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3160 Main St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300963461",
            "country_code": "US",
            "telephone_number": "678-750-3121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GWINNETT BREASTFEEDING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "LOUIE",
        "authorized_official_first_name": "STACY-ANN",
        "authorized_official_middle_name": "LATOYA",
        "authorized_official_title_or_position": "LACTATION CONSULTANT/OWNER",
        "authorized_official_telephone_number": "678-750-3121",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tent Birth and Breastfeeding Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.