Healthcare Provider Details

I. General information

NPI: 1528981370
Provider Name (Legal Business Name): BLOOM THROUGH BIRTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 ELM ST
BENNINGTON VT
05201-2218
US

IV. Provider business mailing address

210 ELM ST
BENNINGTON VT
05201-2218
US

V. Phone/Fax

Practice location:
  • Phone: 802-379-5826
  • Fax:
Mailing address:
  • Phone: 802-379-5826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: HEIDI EWING
Title or Position: DOULA
Credential:
Phone: 802-379-5826