MEDICARE: MRS. ETECIA ELAINA MARIE BURRELL CD, CLC. RH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1154034122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ETECIA ELAINA MARIE BURRELL CD, CLC. RH

Provider Business Mailing Address
First Line	:	2904 CARMEL ST
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94602-3411
Country	:	US
Telephone Number	:	415-841-3915
Fax Number	:

Provider Business Practice Location Address
First Line	:	2904 CARMEL ST
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94602-3411
Country	:	US
Telephone Number	:	415-841-3915
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2023
Last Update Date	:	01/04/2023

Similar Medicare Providers

1053450163 — OAK FACILITY INC
Practice Location Address:

3030 WEBSTER ST
OAKLAND, CA
94609-3411

Practice Phone: 510-451-3856
Practice Fax:

1629287644 — MR. ROBERT MICHAEL COLE LMHC, RD, LDN
Practice Location Address:

3411 NW 9TH AVE , SUITE 704
OAKLAND PARK, FL
33309-5946

Practice Phone: 954-200-3607
Practice Fax:

1619171923 — BECKET ACADEMY INC.
Practice Location Address:

744 OAKLAND RD
BELGRADE, ME
04917-3411

Practice Phone: 207-465-4600
Practice Fax: 207-465-3785

1568608487 — DR. KARI HENNIGAN PH.D.
Practice Location Address:

3030 WEBSTER ST
OAKLAND, CA
94609-3411

Practice Phone: 510-495-0831
Practice Fax:

1659693745 — OAKLAND HEALTHCARE & WELLNESS CENTER LLC
Practice Location Address:

3030 WEBSTER ST
OAKLAND, CA
94609-3411

Practice Phone: 510-250-8000
Practice Fax: 510-451-0823

1245546456 — BECKET FAMILY OF SERVICES
Practice Location Address:

744 OAKLAND RD
BELGRADE, ME
04917-3411

Practice Phone: 207-465-7985
Practice Fax: 207-465-7184

Directions to “ MRS. ETECIA ELAINA MARIE BURRELL CD, CLC. RH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.