Healthcare Provider Details

I. General information

NPI: 1629758834
Provider Name (Legal Business Name): MICHELLE O'CONNELL CD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2023
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date: 04/17/2026
Reactivation Date: 05/21/2026

III. Provider practice location address

7 LOVEFIELD ST APT 2
EASTHAMPTON MA
01027-1155
US

IV. Provider business mailing address

7 LOVEFIELD ST APT 2
EASTHAMPTON MA
01027-1155
US

V. Phone/Fax

Practice location:
  • Phone: 386-479-6041
  • Fax:
Mailing address:
  • Phone: 386-479-6041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: