Healthcare Provider Details

I. General information

NPI: 1700579190
Provider Name (Legal Business Name): BEAUTY FOR ASHES MATERNAL WELLNESS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2023
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8350 LURLINE AVE
WINNETKA CA
91306-1543
US

IV. Provider business mailing address

5838 OVERHILL DR STE 3
LOS ANGELES CA
90043-2738
US

V. Phone/Fax

Practice location:
  • Phone: 323-450-7750
  • Fax:
Mailing address:
  • Phone: 323-450-7750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: MS. MICHELLE SANDERS
Title or Position: BOARD CHAIR/ PRESIDENT
Credential:
Phone: 323-450-7750