Provider Demographics
NPI:1033256128
Name:CONSCIOUS CHILDBIRTH
Entity Type:Organization
Organization Name:CONSCIOUS CHILDBIRTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:HELLER
Authorized Official - Suffix:
Authorized Official - Credentials:LM,AP,MMS
Authorized Official - Phone:954-922-2100
Mailing Address - Street 1:4006 E SAILBOAT DR
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33026-1032
Mailing Address - Country:US
Mailing Address - Phone:954-922-2100
Mailing Address - Fax:954-430-3543
Practice Address - Street 1:4006 E SAILBOAT DR
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33026-1032
Practice Address - Country:US
Practice Address - Phone:954-922-2100
Practice Address - Fax:954-430-3543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP502171100000X
FLMW000017176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Not Answered176B00000XOther Service ProvidersMidwifeGroup - Single Specialty