Healthcare Provider Details

I. General information

NPI: 1104175959
Provider Name (Legal Business Name): PREPARING FOR BIRTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2012
Last Update Date: 07/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6180 LEHMAN DR SUITE 103
COLORADO SPRINGS CO
80918-3444
US

IV. Provider business mailing address

6180 LEHMAN DR SUITE 103
COLORADO SPRINGS CO
80918-3444
US

V. Phone/Fax

Practice location:
  • Phone: 719-323-8414
  • Fax: 719-452-3550
Mailing address:
  • Phone: 719-323-8414
  • Fax: 719-452-3550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code175M00000X
TaxonomyLay Midwife
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: MS. DESIRRE C S ANDREWS
Title or Position: OWNER, EDUCATOR, MIDWIFE
Credential: CPM, RM, CCCE, LCCE
Phone: 719-331-1292