MEDICARE: OLIVE BRANCH BIRTH

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	:	1881546570
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OLIVE BRANCH BIRTH

Provider Business Mailing Address
First Line	:	1885 SEVILLE PL #144
Second Line	:
City	:	PINON HILLS
State	:	CA
Zip	:	92372-9998
Country	:	US
Telephone Number	:	909-587-7819
Fax Number	:

Provider Business Practice Location Address
First Line	:	1885 SEVILLE PL #144
Second Line	:
City	:	PINON HILLS
State	:	CA
Zip	:	92372-9998
Country	:	US
Telephone Number	:	909-587-7819
Fax Number	:

Authorized Official
Title or Position	:	DOULA
Name	:	ABBY STEPHENS
Credential	:	CD(DONA)
Telephone Number	:	909-587-7819

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	03/13/2026

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Directions to “OLIVE BRANCH BIRTH ” Practice Location

Language	Start Address	Practice Location

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