Provider Demographics
NPI:1669069092
Name:BRENDA THE DOULA LLC
Entity type:Organization
Organization Name:BRENDA THE DOULA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARLIN
Authorized Official - Suffix:
Authorized Official - Credentials:CD, CBC
Authorized Official - Phone:512-289-7196
Mailing Address - Street 1:10701 PINKNEY LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78739-1638
Mailing Address - Country:US
Mailing Address - Phone:512-289-7196
Mailing Address - Fax:
Practice Address - Street 1:10701 PINKNEY LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78739-1638
Practice Address - Country:US
Practice Address - Phone:512-289-7196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-31
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care