Healthcare Provider Details

I. General information

NPI: 1033023312
Provider Name (Legal Business Name): FITRAH CREATIVE LABS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 21ST ST
SACRAMENTO CA
95811-5226
US

IV. Provider business mailing address

321 WESTCLIFFE CIR
WALNUT CREEK CA
94597-3208
US

V. Phone/Fax

Practice location:
  • Phone: 916-550-3851
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARIEM BEN FADHEL
Title or Position: FOUNDER
Credential:
Phone: 916-550-3851