Provider Demographics
NPI:1114665817
Name:COUGHLIN, RACHEL ANTONETTE (DOULA)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANTONETTE
Last Name:COUGHLIN
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 1:15803 COTTONTAIL PL
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-1646
Mailing Address - Country:US
Mailing Address - Phone:813-418-0418
Mailing Address - Fax:
Practice Address - Street 1:15803 COTTONTAIL PL
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-1646
Practice Address - Country:US
Practice Address - Phone:813-418-0418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-23
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No171400000XOther Service ProvidersHealth & Wellness Coach