Provider Demographics
NPI:1578341434
Name:SWEET VIOLET DOULAS LLC
Entity Type:Organization
Organization Name:SWEET VIOLET DOULAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HETZEL RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-336-2862
Mailing Address - Street 1:2071 INGAMAC WAY
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92019-1258
Mailing Address - Country:US
Mailing Address - Phone:858-336-2862
Mailing Address - Fax:
Practice Address - Street 1:2071 INGAMAC WAY
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92019-1258
Practice Address - Country:US
Practice Address - Phone:858-336-2862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty