Provider Demographics
NPI:1124864749
Name:BLR DOULA SERVICES LLC
Entity type:Organization
Organization Name:BLR DOULA SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BIANCA
Authorized Official - Middle Name:L'ERIN
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:909-278-7831
Mailing Address - Street 1:1391 DE LINES DRIVE
Mailing Address - Street 2:
Mailing Address - City:PERRIS
Mailing Address - State:CA
Mailing Address - Zip Code:92570-9991
Mailing Address - Country:US
Mailing Address - Phone:909-278-7831
Mailing Address - Fax:951-780-6268
Practice Address - Street 1:1391 DE LINES DR
Practice Address - Street 2:
Practice Address - City:PERRIS
Practice Address - State:CA
Practice Address - Zip Code:92570-3480
Practice Address - Country:US
Practice Address - Phone:951-261-3680
Practice Address - Fax:951-780-6268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-03
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1275233975OtherDOULA