Healthcare Provider Details

I. General information

NPI: 1962311969
Provider Name (Legal Business Name): KULICE T ABRAHAM BIRTH DOULA POST PAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E RIDGEWAY AVE
FLINT MI
48505-2963
US

IV. Provider business mailing address

601 E RIDGEWAY AVE
FLINT MI
48505-2963
US

V. Phone/Fax

Practice location:
  • Phone: 810-834-7394
  • Fax: 810-785-8703
Mailing address:
  • Phone: 810-834-7394
  • Fax: 810-785-8703

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: