Provider Demographics
NPI:1437401700
Name:AFTER BABY CARE DOULA
Entity Type:Organization
Organization Name:AFTER BABY CARE DOULA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:
Authorized Official - Last Name:PFAFF
Authorized Official - Suffix:
Authorized Official - Credentials:CPD
Authorized Official - Phone:970-391-8338
Mailing Address - Street 1:1225 FALL RIVER CIR
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80504-8771
Mailing Address - Country:US
Mailing Address - Phone:970-391-8338
Mailing Address - Fax:
Practice Address - Street 1:1225 FALL RIVER CIR
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80504-8771
Practice Address - Country:US
Practice Address - Phone:970-391-8338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO44302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization