Healthcare Provider Details

I. General information

NPI: 1780596361
Provider Name (Legal Business Name): ALIVIA COLLEEN RAGAN CD(DONA), LCCBE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 COLONIAL DR
GALLIPOLIS OH
45631-1424
US

IV. Provider business mailing address

107 COLONIAL DR
GALLIPOLIS OH
45631-1424
US

V. Phone/Fax

Practice location:
  • Phone: 740-794-1054
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number1480698
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: