Healthcare Provider Details

I. General information

NPI: 1356073282
Provider Name (Legal Business Name): AURORA MIDWIFERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2022
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1796 CHURN CREEK RD
REDDING CA
96002-0263
US

IV. Provider business mailing address

3125 VALENTINE LN
REDDING CA
96001-3911
US

V. Phone/Fax

Practice location:
  • Phone: 303-845-0630
  • Fax: 530-503-9803
Mailing address:
  • Phone: 303-845-0630
  • Fax: 530-503-9803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: TESA LENEE LUBANS DEHAVEN
Title or Position: OWNER
Credential: LM CPM
Phone: 303-845-0630