Provider Demographics
NPI:1841914520
Name:BELONGIA, MACY MARIE (C BIRTH DOULA)
Entity type:Individual
Prefix:MRS
First Name:MACY
Middle Name:MARIE
Last Name:BELONGIA
Suffix:
Gender:F
Credentials:C BIRTH DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 CIRCLE DRIVE
Mailing Address - Street 2:#134
Mailing Address - City:HAYFORK
Mailing Address - State:CA
Mailing Address - Zip Code:96041
Mailing Address - Country:US
Mailing Address - Phone:530-739-3604
Mailing Address - Fax:
Practice Address - Street 1:201 CIRCLE DRIVE
Practice Address - Street 2:#134
Practice Address - City:HAYFORK
Practice Address - State:CA
Practice Address - Zip Code:96041
Practice Address - Country:US
Practice Address - Phone:530-739-3604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-27
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
CA754176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty
No374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty