Healthcare Provider Details

I. General information

NPI: 1114595329
Provider Name (Legal Business Name): CAIRIEL YOUNG LM, CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2021
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2092 S 102ND ST APT 130
WEST ALLIS WI
53227-1319
US

IV. Provider business mailing address

2092 S 102ND ST APT 130
WEST ALLIS WI
53227-1319
US

V. Phone/Fax

Practice location:
  • Phone: 773-520-9386
  • Fax:
Mailing address:
  • Phone: 773-520-9386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number636-49
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: