Provider Demographics
NPI:1154138329
Name:JULIE CHAMPEAU LLC
Entity type:Organization
Organization Name:JULIE CHAMPEAU LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LACTATION CONSULTANT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:CHAMPEAU
Authorized Official - Suffix:
Authorized Official - Credentials:MOT, OTR/L, IBCLC
Authorized Official - Phone:863-255-3293
Mailing Address - Street 1:959 HALL PL NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-4963
Mailing Address - Country:US
Mailing Address - Phone:863-255-3293
Mailing Address - Fax:
Practice Address - Street 1:959 HALL PL NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-4963
Practice Address - Country:US
Practice Address - Phone:863-255-3293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-11
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty