MEDICARE: SARAH OUELLETTE MULLANY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1063359487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH OUELLETTE MULLANY

Provider Business Mailing Address
First Line	:	11175 CICERO DR STE 100
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30022-1179
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	470 E PACES FERRY RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305-3301
Country	:	US
Telephone Number	:	770-282-9333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2026
Last Update Date	:	05/02/2026

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