Provider Demographics
NPI:1023815453
Name:DAVIS, BIANCA (DOULA)
Entity type:Individual
Prefix:
First Name:BIANCA
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:HONEY
Other - Middle Name:A
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CERTIFIED DOULA
Mailing Address - Street 1:2217 GREENOAKS RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29206-3509
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2217 GREENOAKS RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29206-3509
Practice Address - Country:US
Practice Address - Phone:803-633-5128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula