Provider Demographics
NPI:1669964193
Name:BIRTH AND FAMILY WELLNESS
Entity type:Organization
Organization Name:BIRTH AND FAMILY WELLNESS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SIERRA
Authorized Official - Middle Name:C
Authorized Official - Last Name:HILLEBRAND
Authorized Official - Suffix:
Authorized Official - Credentials:LLP
Authorized Official - Phone:734-249-8500
Mailing Address - Street 1:231 LITTLE LAKE DR STE A
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-6247
Mailing Address - Country:US
Mailing Address - Phone:734-330-3494
Mailing Address - Fax:734-249-9700
Practice Address - Street 1:231 LITTLE LAKE DR STE A
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-6247
Practice Address - Country:US
Practice Address - Phone:734-330-3494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-31
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)