Provider Demographics
NPI:1568358737
Name:BALANCED BEGINNINGS LACTATION
Entity type:Organization
Organization Name:BALANCED BEGINNINGS LACTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LACTATION CONSULTANT
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHTON
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:SHELTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC, CACCP, IBCLC
Authorized Official - Phone:405-293-1215
Mailing Address - Street 1:1505 S SANGRE RD
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74074-1869
Mailing Address - Country:US
Mailing Address - Phone:405-372-9200
Mailing Address - Fax:
Practice Address - Street 1:1505 S SANGRE RD
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-1869
Practice Address - Country:US
Practice Address - Phone:405-372-9200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty