Healthcare Provider Details

I. General information

NPI: 1982331252
Provider Name (Legal Business Name): TIYANA LANEE CHONG DOULA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2022
Last Update Date: 08/05/2022
Certification Date: 08/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

257 HARRIS LOOP
DALLAS GA
30157-8202
US

IV. Provider business mailing address

257 HARRIS LOOP
DALLAS GA
30157-8202
US

V. Phone/Fax

Practice location:
  • Phone: 559-326-4787
  • Fax:
Mailing address:
  • Phone: 559-326-4787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: