Healthcare Provider Details

I. General information

NPI: 1275452468
Provider Name (Legal Business Name): BEYOND BIRTHING ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53741 EDGEWOOD DR
SOUTH LYON MI
48178-8013
US

IV. Provider business mailing address

53741 EDGEWOOD DR
SOUTH LYON MI
48178-8013
US

V. Phone/Fax

Practice location:
  • Phone: 248-705-3795
  • Fax:
Mailing address:
  • Phone: 248-705-3795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MOLLY GREEN
Title or Position: OWNER
Credential: CED-L, CED-P
Phone: 248-705-3795