Healthcare Provider Details

I. General information

NPI: 1750256293
Provider Name (Legal Business Name): BRANCHES OF BIRTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

167 WALCOTT AVE
JAMESTOWN RI
02835-2940
US

IV. Provider business mailing address

167 WALCOTT AVE
JAMESTOWN RI
02835-2940
US

V. Phone/Fax

Practice location:
  • Phone: 203-848-5387
  • Fax:
Mailing address:
  • Phone: 203-848-5387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KALEY DAVIS
Title or Position: OWNER
Credential:
Phone: 203-848-5387