# BREASTFEED ATLANTA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558722215
- **Authorized official:** CHRISTIE WARD COURSEY IBCLC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (404) 454-9715

## Contact information

- **Practice address:** 5885 GLENRIDGE DR STE 200, ATLANTA, GA 30328-5573
- **Practice address phone:** (404) 454-9715
- **Practice address fax:** (404) 393-3739
- **Mailing address:** 5885 GLENRIDGE DR STE 200, ATLANTA, GA 30328-5573
- **Mailing address phone:** (404) 454-9715
- **Mailing address fax:** (404) 393-3739

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WL0100X | Lactation Consultant (Registered Nurse) | — | NULL | — |
| 163WL0100X | Lactation Consultant (Registered Nurse) | — | — | — |
| 174N00000X | Lactation Consultant (Non-RN) | — | NULL | — |
| 174N00000X | Lactation Consultant (Non-RN) | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 03/09/2016
- **Last updated:** 11/06/2024