Healthcare Provider Details

I. General information

NPI: 1285514687
Provider Name (Legal Business Name): HAYLIE STITES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 SPINNING RD
DAYTON OH
45431-2845
US

IV. Provider business mailing address

815 SPINNING RD
DAYTON OH
45431-2845
US

V. Phone/Fax

Practice location:
  • Phone: 947-694-5658
  • Fax:
Mailing address:
  • Phone: 947-694-5658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: