Provider Demographics
NPI:1457970790
Name:IRIE BIRTH EXPERIENCE LLC
Entity Type:Organization
Organization Name:IRIE BIRTH EXPERIENCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LABOR DOULA / CHILDBIRTH EDUCATOR
Authorized Official - Prefix:
Authorized Official - First Name:KINDLE-SIMONE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDLANDER
Authorized Official - Suffix:
Authorized Official - Credentials:CLD, CCCE
Authorized Official - Phone:404-915-4348
Mailing Address - Street 1:13988 SUNFISH BND
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-0605
Mailing Address - Country:US
Mailing Address - Phone:404-915-4348
Mailing Address - Fax:
Practice Address - Street 1:13988 SUNFISH BND
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-0605
Practice Address - Country:US
Practice Address - Phone:404-915-4348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-15
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty