Healthcare Provider Details

I. General information

NPI: 1346103264
Provider Name (Legal Business Name): EVENTIDE IN THE REDWOODS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1234 OLD KENVILLE RD
FELTON CA
95018-9066
US

IV. Provider business mailing address

1234 OLD KENVILLE RD
FELTON CA
95018-9066
US

V. Phone/Fax

Practice location:
  • Phone: 831-332-9329
  • Fax:
Mailing address:
  • Phone: 831-332-9329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BARBARA NICOLE WOODS
Title or Position: OWNER
Credential:
Phone: 831-332-9329