Healthcare Provider Details

I. General information

NPI: 1629984604
Provider Name (Legal Business Name): HELLA PEACE HELLA LOVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1068 55TH ST
EMERYVILLE CA
94608-2746
US

IV. Provider business mailing address

2368 HIGH ST
OAKLAND CA
94601-4324
US

V. Phone/Fax

Practice location:
  • Phone: 510-207-5786
  • Fax:
Mailing address:
  • Phone: 510-207-5786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CHALISE RENEE WALLS
Title or Position: DOULA
Credential: CERTIFICATE
Phone: 510-207-5786