Provider Demographics
NPI:1134595341
Name:HAVE A HEART
Entity type:Organization
Organization Name:HAVE A HEART
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BIRTH DOULA
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPICKNALL
Authorized Official - Suffix:
Authorized Official - Credentials:DOULA
Authorized Official - Phone:206-687-2651
Mailing Address - Street 1:151 TAYLOR AVE NW
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057
Mailing Address - Country:US
Mailing Address - Phone:206-687-2651
Mailing Address - Fax:
Practice Address - Street 1:151 TAYLOR AVE NW
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057
Practice Address - Country:US
Practice Address - Phone:206-687-2651
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management