# MINDFUL LACTATION EDUCATION, LLC

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

## Provider details

- **NPI number:** 1679174148
- **Authorized official:** JENNIFER MICHELLE FOSTER CD, IBCLC, RLC (OWNER/OPERATOR)
- **Authorized official phone:** (470) 533-9119

## Contact information

- **Practice address:** 213 RUSSELL CT, CANTON, GA 30115-2918
- **Practice address phone:** (470) 533-9119
- **Mailing address:** 213 RUSSELL CT, CANTON, GA 30115-2918
- **Mailing address phone:** (470) 533-9119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133N00000X | Nutritionist | — | NULL | — |
| 133N00000X | Nutritionist | — | — | — |
| 174H00000X | Health Educator | — | NULL | Yes |
| 174H00000X | Health Educator | — | — | Yes |
| 2083C0008X | Clinical Informatics Physician | — | NULL | — |
| 2083C0008X | Clinical Informatics Physician | — | — | — |
| 261QM3000X | Medically Fragile Infants and Children Day Care | — | NULL | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | — |

## Other

- **Enumeration date:** 11/02/2020
- **Last updated:** 11/02/2020