Healthcare Provider Details

I. General information

NPI: 1467379883
Provider Name (Legal Business Name): PREPARE TO BLOOM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 LANGLIE CT
WALNUT CREEK CA
94598-3615
US

IV. Provider business mailing address

239 LANGLIE CT
WALNUT CREEK CA
94598-3615
US

V. Phone/Fax

Practice location:
  • Phone: 650-888-4575
  • Fax:
Mailing address:
  • Phone: 650-888-4575
  • 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. SHAYNA ABRAHAM
Title or Position: CEO
Credential: MA
Phone: 650-888-4575