Provider Demographics
NPI:1194181057
Name:BLISSFUL MOMENTS DOULA & BIRTH SERVICES, LLC.
Entity Type:Organization
Organization Name:BLISSFUL MOMENTS DOULA & BIRTH SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOULA
Authorized Official - Prefix:
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:B
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-889-7180
Mailing Address - Street 1:268 FREEMAN RD
Mailing Address - Street 2:
Mailing Address - City:CALEDONIA
Mailing Address - State:MS
Mailing Address - Zip Code:39740-9706
Mailing Address - Country:US
Mailing Address - Phone:662-889-7180
Mailing Address - Fax:
Practice Address - Street 1:268 FREEMAN RD
Practice Address - Street 2:
Practice Address - City:CALEDONIA
Practice Address - State:MS
Practice Address - Zip Code:39740-9706
Practice Address - Country:US
Practice Address - Phone:662-889-7180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-07
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty