Healthcare Provider Details

I. General information

NPI: 1386441814
Provider Name (Legal Business Name): CHEYENNE TOWNLEY BIRTH & MATRESCENCE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2025
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12086 COUNTY ROAD 1440
APACHE OK
73006-9565
US

IV. Provider business mailing address

12086 COUNTY ROAD 1440
APACHE OK
73006-9565
US

V. Phone/Fax

Practice location:
  • Phone: 580-514-1473
  • Fax:
Mailing address:
  • Phone: 580-514-1473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CHEYENNE TOWNLEY
Title or Position: OWNER/DOULA
Credential:
Phone: 580-514-1474