Healthcare Provider Details

I. General information

NPI: 1831013473
Provider Name (Legal Business Name): BRIA UMLOR CCHW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: INDIGO UMLOR UMLOR

II. Dates (important events)

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

III. Provider practice location address

6466 BYRON WOODS DR SW
BYRON CENTER MI
49315-8990
US

IV. Provider business mailing address

6466 BYRON WOODS DR SW
BYRON CENTER MI
49315-8990
US

V. Phone/Fax

Practice location:
  • Phone: 616-915-1081
  • Fax:
Mailing address:
  • Phone:
  • 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: