Provider Demographics
NPI:1104591338
Name:PROJECT TEENBIRTH, INC
Entity type:Organization
Organization Name:PROJECT TEENBIRTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOULA/PRESIDENT/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:DOULA, COPE
Authorized Official - Phone:813-573-2445
Mailing Address - Street 1:PO BOX 4281
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33509-4281
Mailing Address - Country:US
Mailing Address - Phone:813-820-1660
Mailing Address - Fax:
Practice Address - Street 1:517 SOMERSTONE DR
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33594-7628
Practice Address - Country:US
Practice Address - Phone:813-573-2445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty