Provider Demographics
NPI:1871972612
Name:SEASONS OF LIFE DOULA AND PHOTOGRAPHY SERVICES
Entity type:Organization
Organization Name:SEASONS OF LIFE DOULA AND PHOTOGRAPHY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOULA
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:TERHUNE
Authorized Official - Suffix:
Authorized Official - Credentials:SBD
Authorized Official - Phone:775-443-0917
Mailing Address - Street 1:981 TILLMAN LN
Mailing Address - Street 2:
Mailing Address - City:GARDNERVILLE
Mailing Address - State:NV
Mailing Address - Zip Code:89460-8854
Mailing Address - Country:US
Mailing Address - Phone:775-443-0917
Mailing Address - Fax:
Practice Address - Street 1:981 TILLMAN LN
Practice Address - Street 2:
Practice Address - City:GARDNERVILLE
Practice Address - State:NV
Practice Address - Zip Code:89460-8854
Practice Address - Country:US
Practice Address - Phone:775-443-0917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-27
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable