Provider Demographics
NPI:1083310783
Name:TYEHIMBA, SAKHET (DOULA)
Entity Type:Individual
Prefix:
First Name:SAKHET
Middle Name:
Last Name:TYEHIMBA
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 CENTERFIELD DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28214-1458
Mailing Address - Country:US
Mailing Address - Phone:216-762-8431
Mailing Address - Fax:
Practice Address - Street 1:425 CENTERFIELD DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28214-1458
Practice Address - Country:US
Practice Address - Phone:216-762-8431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-03
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula