=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851089494
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MRS. HALEIGH CHERIN CLEVELAND
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/01/2023
-----------------------------------------------------
Last Update Date | 05/01/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 660 MAST RD
-----------------------------------------------------
City | MANCHESTER
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03102-1218
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 603-851-1595
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 576 NORTHWEST RD
-----------------------------------------------------
City | CANTERBURY
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03224-2111
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 603-219-5250
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 374J00000X
-----------------------------------------------------
Taxonomy Name | Doula
-----------------------------------------------------
License Number | 6224
-----------------------------------------------------
License Number State | NH
-----------------------------------------------------