Organization · Type 2 NPI

The Breast Choice Lactation Services

Lactation Consultant (Registered Nurse) · Desoto, TX

NPI number 1760182604 Active

Practice location

1636 N Hampton Rd Ste 227
Desoto, TX 75115-8601

Specialties and licenses

Taxonomy	Code	License
Lactation Consultant (Registered Nurse) Primary	163WL0100X	None listed
Health & Wellness Coach	171400000X	None listed
Community Health Worker	172V00000X	None listed
Lactation Consultant (Non-RN)	174N00000X	None listed
Case Management Agency	251B00000X	None listed
Doula	374J00000X	None listed

Lactation Consultant (Registered Nurse): Definition to come...

4 other providers at this address

NPI record

NPI: 1760182604
Entity type: Organization (Type 2)
Issued: Mar 8, 2023
Last updated: Oct 2, 2025
Status: Active

Other names

<unavail>
Tiffani Dickerson · other name
Tiffani Dickerson · other name
Tiffani Dickerson Rn-Ibclc · other name

Authorized official

Tiffani Dickerson, RN-IBCLC
Owner/operator
(972) 765-8195

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1760182604

The Breast Choice Lactation Services's National Provider Identifier is 1760182604, issued on Mar 8, 2023. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Desoto, TX. The record was last updated on Oct 2, 2025.