Healthcare Provider Details

I. General information

NPI: 1124478359
Provider Name (Legal Business Name): BELLY TO BIRTHDAY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2016
Last Update Date: 06/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2819 ALMESTER DR
CINCINNATI OH
45211-7603
US

IV. Provider business mailing address

PO BOX 112078
CINCINNATI OH
45211-2078
US

V. Phone/Fax

Practice location:
  • Phone: 513-828-8433
  • Fax:
Mailing address:
  • Phone: 513-828-8433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DIANA MARIE DREW
Title or Position: OWNER
Credential:
Phone: 513-828-8433