Provider Demographics
NPI:1053079301
Name:MINDFUL BREASTFEEDING, LLC
Entity type:Organization
Organization Name:MINDFUL BREASTFEEDING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BEATA
Authorized Official - Middle Name:LIDIA
Authorized Official - Last Name:HARASIM
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, FAAOMPT
Authorized Official - Phone:860-833-4606
Mailing Address - Street 1:75 ALBERT AVE
Mailing Address - Street 2:
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-1003
Mailing Address - Country:US
Mailing Address - Phone:860-266-7745
Mailing Address - Fax:
Practice Address - Street 1:75 ALBERT AVE
Practice Address - Street 2:
Practice Address - City:WETHERSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06109-1003
Practice Address - Country:US
Practice Address - Phone:860-266-7745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-03
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy