Provider Demographics
NPI:1114799236
Name:EMPOWERED THROUGH BIRTHING DOULA SERVICES
Entity Type:Organization
Organization Name:EMPOWERED THROUGH BIRTHING DOULA SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONNET
Authorized Official - Middle Name:LETISE
Authorized Official - Last Name:GROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-878-4896
Mailing Address - Street 1:1118 51ST PL NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-4026
Mailing Address - Country:US
Mailing Address - Phone:202-878-4896
Mailing Address - Fax:
Practice Address - Street 1:1118 51ST PL NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-4026
Practice Address - Country:US
Practice Address - Phone:202-878-4896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty