Organization
NOURISHED YOUNG, LLC
Active
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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