Healthcare Provider Details

I. General information

NPI: 1821700519
Provider Name (Legal Business Name): CHELSY MARRIOTT CD(DONA)
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2022
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 NORTH VIEW CIRCLE
YREKA CA
96097
US

IV. Provider business mailing address

404 S MAIN ST # 1014
YREKA CA
96097-3023
US

V. Phone/Fax

Practice location:
  • Phone: 360-672-0982
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: