Provider Demographics
NPI:1871282046
Name:BLISSFUL BABY DOULA SERVICES
Entity type:Organization
Organization Name:BLISSFUL BABY DOULA SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOULA/ BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLYNE
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:ALVARADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-633-4577
Mailing Address - Street 1:1748 1/2 CRENSHAW BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90019-6036
Mailing Address - Country:US
Mailing Address - Phone:323-633-4577
Mailing Address - Fax:
Practice Address - Street 1:1748 1/2 CRENSHAW BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90019-6036
Practice Address - Country:US
Practice Address - Phone:323-633-4577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty