Provider Demographics
NPI:1114729431
Name:HEART FOLK MIDWIFERY
Entity type:Organization
Organization Name:HEART FOLK MIDWIFERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:TAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHLER
Authorized Official - Suffix:
Authorized Official - Credentials:LM CPM
Authorized Official - Phone:707-672-2654
Mailing Address - Street 1:1604 HWY 116 S
Mailing Address - Street 2:
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95472-4837
Mailing Address - Country:US
Mailing Address - Phone:707-672-2654
Mailing Address - Fax:707-306-7579
Practice Address - Street 1:1604 HWY 116 S
Practice Address - Street 2:
Practice Address - City:SEBASTOPOL
Practice Address - State:CA
Practice Address - Zip Code:95472-4837
Practice Address - Country:US
Practice Address - Phone:707-672-2654
Practice Address - Fax:707-306-7579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty