Organization
NOURISHED YOUNG, LLC
Active
Other names
Intown Lactation, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA AVERY YOUNG IBCLC (OWNER)
(404) 406-6436
Entity
Organization
Contact information
Practice address
178 LAREDO DR STE B, DECATUR, GA 30030-2206
(404) 333-8658
Mailing address
635 GRANT ST SE, ATLANTA, GA 30312-3146
(404) 406-6436
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC000029
LACTATION CONSULTING
GA
Enumeration date
12/31/2019
Last updated
04/02/2021
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