Provider Demographics
NPI:1194321380
Name:SIMPSON, AHJONAE ORIANA (DOULA, CMT)
Entity type:Individual
Prefix:
First Name:AHJONAE
Middle Name:ORIANA
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:DOULA, CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 610234
Mailing Address - Street 2:
Mailing Address - City:DFW AIRPORT
Mailing Address - State:TX
Mailing Address - Zip Code:75261-0234
Mailing Address - Country:US
Mailing Address - Phone:682-252-6129
Mailing Address - Fax:
Practice Address - Street 1:13645 GILBERT ST
Practice Address - Street 2:
Practice Address - City:EDWARDS
Practice Address - State:CA
Practice Address - Zip Code:93523-3427
Practice Address - Country:US
Practice Address - Phone:682-252-6129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-11
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95744173C00000X, 225700000X
TX374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty
No173C00000XOther Service ProvidersReflexologist
No374J00000XNursing Service Related ProvidersDoula