Provider Demographics
NPI:1457935439
Name:BLISS WOMEN'S WELLNESS & BIRTH CENTER
Entity Type:Organization
Organization Name:BLISS WOMEN'S WELLNESS & BIRTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:JACLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, LD
Authorized Official - Phone:936-271-4911
Mailing Address - Street 1:14157 HORSESHOE BND
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-3521
Mailing Address - Country:US
Mailing Address - Phone:936-341-0565
Mailing Address - Fax:936-271-4902
Practice Address - Street 1:14157 HORSESHOE BND
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77384-3521
Practice Address - Country:US
Practice Address - Phone:936-271-4911
Practice Address - Fax:936-271-4902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-06
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing