Provider Demographics
NPI:1184178444
Name:MOTHER ME
Entity Type:Organization
Organization Name:MOTHER ME
Other - Org Name:MOTHER ME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CERTIFIED LACTATION COUNSELOR DOULA
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-235-7133
Mailing Address - Street 1:127 S CEDAR HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1801
Mailing Address - Country:US
Mailing Address - Phone:610-235-7133
Mailing Address - Fax:
Practice Address - Street 1:127 S CEDAR HOLLOW RD
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1801
Practice Address - Country:US
Practice Address - Phone:610-235-7133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-04
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty