Provider Demographics
NPI:1457888380
Name:BIRTH PLUS, LLC
Entity Type:Organization
Organization Name:BIRTH PLUS, LLC
Other - Org Name:BIRTH PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:CD(DTI), CBE
Authorized Official - Phone:678-769-6139
Mailing Address - Street 1:4030 LYMAN WAY
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30507-8697
Mailing Address - Country:US
Mailing Address - Phone:678-769-6139
Mailing Address - Fax:
Practice Address - Street 1:4030 LYMAN WAY
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30507-8697
Practice Address - Country:US
Practice Address - Phone:678-769-6139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-23
Last Update Date:2017-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA174400000X, 374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty