Provider Demographics
NPI:1134961998
Name:THE COOCHIE COACH LLC
Entity type:Organization
Organization Name:THE COOCHIE COACH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOULA/CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-575-1217
Mailing Address - Street 1:1010 PARK AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0903
Mailing Address - Country:US
Mailing Address - Phone:646-575-1217
Mailing Address - Fax:
Practice Address - Street 1:1010 PARK AVE STE 1
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0903
Practice Address - Country:US
Practice Address - Phone:646-575-1217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health