Provider Demographics
NPI:1417606682
Name:HIGH COUNTRY DOULAS LLC
Entity Type:Organization
Organization Name:HIGH COUNTRY DOULAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHILDBIRTH EDUCATOR/DOULA
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:ROLLANS
Authorized Official - Suffix:
Authorized Official - Credentials:CLD, CPICD, BS, CBE
Authorized Official - Phone:828-278-8949
Mailing Address - Street 1:173 SUMMER ACRES
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-6760
Mailing Address - Country:US
Mailing Address - Phone:828-278-8949
Mailing Address - Fax:
Practice Address - Street 1:173 SUMMER ACRES
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-6760
Practice Address - Country:US
Practice Address - Phone:828-278-8949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty