Provider Demographics
NPI:1184330474
Name:THE BREEZY DOULA LLC
Entity type:Organization
Organization Name:THE BREEZY DOULA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CERTIFIED DOULA
Authorized Official - Prefix:
Authorized Official - First Name:BREANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZACCARO
Authorized Official - Suffix:
Authorized Official - Credentials:CD(DONA)
Authorized Official - Phone:949-300-0433
Mailing Address - Street 1:21292 VALEWOOD
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-6461
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:21292 VALEWOOD
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-6461
Practice Address - Country:US
Practice Address - Phone:949-300-0433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty