MEDICARE: WOMB OF PEACE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	174H00000X	Health Educator
2	133NN1002X	Nutrition Education Nutritionist
3	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1346171626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMB OF PEACE LLC

Provider Business Mailing Address
First Line	:	2172 CHARTWELL DR
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30066-4576
Country	:	US
Telephone Number	:	678-510-3769
Fax Number	:

Provider Business Practice Location Address
First Line	:	2172 CHARTWELL DR
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30066-4576
Country	:	US
Telephone Number	:	678-510-3769
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	YASMINE MINNIFIELD
Credential	:	HEALTH COACH
Telephone Number	:	678-510-3769

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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Directions to “WOMB OF PEACE LLC ” Practice Location

Language	Start Address	Practice Location

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