Provider Demographics
NPI:1023336641
Name:CHILDBIRTH OPTIONS, LLC
Entity type:Organization
Organization Name:CHILDBIRTH OPTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SIZZLY
Authorized Official - Middle Name:M
Authorized Official - Last Name:AUER
Authorized Official - Suffix:
Authorized Official - Credentials:LM, CPM , CCBE, HCDC
Authorized Official - Phone:813-381-6430
Mailing Address - Street 1:27032 EVERGREEN CHASE DR
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6693
Mailing Address - Country:US
Mailing Address - Phone:813-381-6430
Mailing Address - Fax:813-365-3074
Practice Address - Street 1:27032 EVERGREEN CHASE DR
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544
Practice Address - Country:US
Practice Address - Phone:813-381-6430
Practice Address - Fax:813-365-3074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-06
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL174N00000X, 367A00000X
2085U0001X, 374J00000X
FLMW245176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty
No374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL119802000Medicaid