=====================================================
General NPI Number Information
=====================================================
NPI Number | 1720884844
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TDB COACHING AND CONSULTING SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/20/2025
-----------------------------------------------------
Last Update Date | 02/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 71 E 111TH ST
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10029-2615
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 646-372-3120
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 128 E 108TH ST APT 1003
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10029-3688
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 646-647-0773
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FOUNDER
-----------------------------------------------------
Name | NA'SHA BUDDEN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 646-647-0773
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 374J00000X
-----------------------------------------------------
Taxonomy Name | Doula
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------