NPI Code Details Logo

NPI 1346103264

NPI 1346103264 : EVENTIDE IN THE REDWOODS : FELTON, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1346103264
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    EVENTIDE IN THE REDWOODS 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/08/2025
-----------------------------------------------------
    Last Update Date     |    12/08/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1234 OLD KENVILLE RD 
-----------------------------------------------------
    City                 |    FELTON
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    95018-9066
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    831-332-9329
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1234 OLD KENVILLE RD 
-----------------------------------------------------
    City                 |    FELTON
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    95018-9066
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    831-332-9329
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     BARBARA NICOLE WOODS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    831-332-9329
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    374J00000X
-----------------------------------------------------
    Taxonomy Name        |    Doula
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.