1. Home
  2. Directory
  3. Georgia
  4. Martinez
  5. Lactation Consultant Non Rn
  6. NPI Profile

MAMA MENTOR LLC
NPI 1275288391
Lactation Consultant, Non-RN in Martinez, GA

Active since February 17, 2022
175 EVERGREEN DR, MARTINEZ, GA 30907(706) 814-8083 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mama Mentor Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAMA MENTOR LLC (NPI 1275288391) is a healthcare organization registered as a lactation consultant, non-rn in Martinez, Georgia and active in the NPI registry since February 2022. The organization maintains a secondary practice location in Augusta and lists Candace Green, Rlc, Ibclc, as its authorized official.

NPPES Registry Identity

NPI1275288391
Entity TypeOrganization
Primary Taxonomy174N00000X
Legal Business NameMAMA MENTOR LLC
Location Address175 EVERGREEN DRMartinez, GA 30907-1391
Mailing Address175 Evergreen DrMartinez, GA 30907-1391 · (706) 814-8083
Phone(706) 814-8083
Organization SubpartNo
Authorized OfficialCandace GreenRlc, Ibclc · (706) 814-8083
Enumeration DateFebruary 17, 2022
NPPES CertifiedFebruary 17, 2022
✔ NPI 1275288391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLactation Consultant, Non-RNOther Service Providers
Taxonomy Code174N00000X
Definition
An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.
175 EVERGREEN DR, Martinez, GA 30907
Open in Google Maps ↗

Secondary Practice Location 1

Location 11245 Augusta West PkwyAugusta, GA 30909-1807 · Phone (706) 868-0389

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mama Mentor LLC's NPI number?

The NPI number for Mama Mentor LLC is 1275288391. It was assigned to this organization in the NPPES registry on February 17, 2022.

Where is Mama Mentor LLC located?

Mama Mentor LLC is located at 175 Evergreen Dr, Martinez, GA 30907. The listed phone number is (706) 814-8083.

What is Mama Mentor LLC's specialty?

The primary specialty registered for this NPI is Lactation Consultant, Non-RN with taxonomy code 174N00000X.

When was this NPI record last updated?

The NPPES record for Mama Mentor LLC was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.