Provider Demographics
NPI:1477802742
Name:MY PREGNANCY COACH
Entity Type:Organization
Organization Name:MY PREGNANCY COACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:L
Authorized Official - Last Name:FRATARCANGELI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-243-9373
Mailing Address - Street 1:22522 WILDWOOD ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48081-3902
Mailing Address - Country:US
Mailing Address - Phone:586-243-9373
Mailing Address - Fax:
Practice Address - Street 1:22522 WILDWOOD ST
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48081-3902
Practice Address - Country:US
Practice Address - Phone:586-243-9373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-02
Last Update Date:2012-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management