Provider Demographics
NPI:1467926139
Name:FIRST STEP GENTLE CARE LABOR DOULA SERVICE
Entity Type:Organization
Organization Name:FIRST STEP GENTLE CARE LABOR DOULA SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED LABOR DOULA
Authorized Official - Prefix:
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:C
Authorized Official - Last Name:PETERS
Authorized Official - Suffix:
Authorized Official - Credentials:CLD
Authorized Official - Phone:860-302-3394
Mailing Address - Street 1:20 ELLIOT DRIVE
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06514
Mailing Address - Country:US
Mailing Address - Phone:860-302-3394
Mailing Address - Fax:
Practice Address - Street 1:20 ELLIOT DRIVE
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06514
Practice Address - Country:US
Practice Address - Phone:860-302-3394
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-16
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty