Organization
NICHOLE MCCLOY LLC DBA FORT WORTH LACTATION & TONGUE TIE SPECIALISTS
Active
Organization
NICHOLE MCCLOY LLC DBA FORT WORTH LACTATION & TONGUE TIE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE MCCLOY RN IBCLC (OWNER)
(303) 960-2422
Entity
Organization
Contact information
Practice address
3420 BASSWOOD BLVD STE 130, FORT WORTH, TX 76137-1467
(817) 304-0992
(817) 977-9073
Mailing address
8500 SANDY PARK DR, FORT WORTH, TX 76179-3187
(817) 304-0992
(817) 977-9073
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
163WM0102X
Maternal Newborn Registered Nurse
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/09/2024
Last updated
07/20/2026
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