Healthcare Provider Details

I. General information

NPI: 1104766682
Provider Name (Legal Business Name): TASHAS TENDER LOVING AND CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3920 E THOMAS RD UNIT 15874
PHOENIX AZ
85060-2640
US

IV. Provider business mailing address

3920 E THOMAS RD UNIT 15874
PHOENIX AZ
85060-2640
US

V. Phone/Fax

Practice location:
  • Phone: 480-420-9080
  • Fax:
Mailing address:
  • Phone: 480-420-9080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: MS. NATASHA HENRY
Title or Position: DOULA
Credential:
Phone: 773-315-9104