Provider Demographics
NPI:1164217907
Name:CONNECTIONS LACTATION CARE
Entity type:Organization
Organization Name:CONNECTIONS LACTATION CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:E
Authorized Official - Last Name:KIDD
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:602-402-0413
Mailing Address - Street 1:3424 W TANYA TRL
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-4328
Mailing Address - Country:US
Mailing Address - Phone:602-402-0413
Mailing Address - Fax:602-429-8439
Practice Address - Street 1:7592 E PALO VERDE ST
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-3235
Practice Address - Country:US
Practice Address - Phone:928-830-1642
Practice Address - Fax:602-429-8439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty