MEDICARE: MOTHERING THE MOTHER INCORPORATED

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251V00000X	Voluntary or Charitable Agency
2	174H00000X	Health Educator
3	374J00000X	Doula
4	374U00000X	Home Health Aide
5	376K00000X	Nurse's Aide
6	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1649567256
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOTHERING THE MOTHER INCORPORATED

Provider Business Mailing Address
First Line	:	1307 S 38TH ST
Second Line	:
City	:	WEST MILWAUKEE
State	:	WI
Zip	:	53215-1351
Country	:	US
Telephone Number	:	414-446-7107
Fax Number	:

Provider Business Practice Location Address
First Line	:	1307 S 38TH ST
Second Line	:
City	:	WEST MILWAUKEE
State	:	WI
Zip	:	53215-1351
Country	:	US
Telephone Number	:	414-446-7107
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DIRECTOR/PROGRAM COORDINATOR
Name	:	MICHELLE D HARDY
Credential	:	MS, LMT
Telephone Number	:	414-446-7107

Provider Enumeration Date	:	07/03/2011
Last Update Date	:	05/24/2013

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Directions to “MOTHERING THE MOTHER INCORPORATED ” Practice Location

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