The Breast Choice Lactation Services
Registered Nurse, Lactation Consultant in Desoto, TX. Organization (NPI-2).
NPI number1760182604
StatusActive
Last updated in NPPESOct 2, 2025
Details
- NPI
- 1760182604
- Entity type
- Organization (NPI-2)
- Legal business name
- The Breast Choice Lactation Services
- Organization subpart
- No
- Enumeration date
- Mar 8, 2023
- Certification date
- Oct 2, 2025
- Last updated
- Oct 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WL0100X | Registered Nurse, Lactation Consultant | – | – | Yes |
| 171400000X | Health & Wellness Coach | – | – | |
| 251B00000X | Case Management | – | – | |
| 374J00000X | Doula | – | – | |
| 172V00000X | Community Health Worker | – | – | |
| 174N00000X | Lactation Consultant, Non-RN | – | – |
Other names
- Tiffani Dickerson Rn-Ibclc (Other Name)
- Tiffani Dickerson (Other Name)
Practice location
1636 N Hampton Rd Ste 227Desoto, TX 75115-8601
Phone 972-765-8195
Mailing address
1636 N Hampton Rd Ste 227Desoto, TX 75115-8601
Phone 972-765-8195
Authorized official
Tiffani Dickerson
Owner/Operator
9727658195
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