Healthcare Provider Details

I. General information

NPI: 1831974344
Provider Name (Legal Business Name): COEXIST DOULAS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2023
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

C/O COEXIST FAMILY CONSULTING & SERVICES LLC 7901 4TH ST N #34423
ST. PETERSBURG FL
33702
US

IV. Provider business mailing address

C/O COEXIST FAMILY CONSULTING & SERVICES LLC 7901 4TH ST N #34423
ST. PETERSBURG FL
33702
US

V. Phone/Fax

Practice location:
  • Phone: 904-897-8866
  • Fax:
Mailing address:
  • Phone: 904-897-8866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code374K00000X
TaxonomyReligious Nonmedical Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. KRYSTAL VIVIENNE PATRICIA HASSAN
Title or Position: FOUNDER / MANAGING MEMBER
Credential: CBD,CPD,CBC
Phone: 407-844-0400