Provider Demographics
NPI:1568924413
Name:MAMA MIA MIDWIFERY LLC
Entity Type:Organization
Organization Name:MAMA MIA MIDWIFERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MIDWIFE, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BEHIYE
Authorized Official - Middle Name:
Authorized Official - Last Name:YENIKOMSU
Authorized Official - Suffix:
Authorized Official - Credentials:MSM, LM, CPM
Authorized Official - Phone:425-772-6213
Mailing Address - Street 1:6240 CONTESSA DR APT 308
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32829-8399
Mailing Address - Country:US
Mailing Address - Phone:425-772-6213
Mailing Address - Fax:
Practice Address - Street 1:6240 CONTESSA DR APT 308
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32829-8399
Practice Address - Country:US
Practice Address - Phone:425-772-6213
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-01
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty