Provider Demographics
NPI:1023244613
Name:TREASURED BEGINNINGS, LLC
Entity type:Organization
Organization Name:TREASURED BEGINNINGS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GRADUATE LACTATION CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:AMELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAVARES
Authorized Official - Suffix:
Authorized Official - Credentials:RD, CLEC
Authorized Official - Phone:209-402-1402
Mailing Address - Street 1:5866 LAKE LINDERO DR
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-1416
Mailing Address - Country:US
Mailing Address - Phone:209-402-1402
Mailing Address - Fax:
Practice Address - Street 1:5866 LAKE LINDERO DR
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-1416
Practice Address - Country:US
Practice Address - Phone:209-402-1402
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty