Provider Demographics
NPI:1194696807
Name:MONTGOMERY, TION-BAY (BIRTH DOULA)
Entity type:Individual
Prefix:
First Name:TION-BAY
Middle Name:
Last Name:MONTGOMERY
Suffix:
Gender:F
Credentials:BIRTH DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5441 BERMUDA LN
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48505-1068
Mailing Address - Country:US
Mailing Address - Phone:810-243-3259
Mailing Address - Fax:
Practice Address - Street 1:5441 BERMUDA LN
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48505-1068
Practice Address - Country:US
Practice Address - Phone:810-243-3259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula