Provider Demographics
NPI:1386230803
Name:BECOMING MAMA
Entity type:Organization
Organization Name:BECOMING MAMA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STUDENT MIDWIFE
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BADIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-955-6727
Mailing Address - Street 1:3390 STRATFORD RD NE UNIT 1004
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-1766
Mailing Address - Country:US
Mailing Address - Phone:404-955-6727
Mailing Address - Fax:
Practice Address - Street 1:3390 STRATFORD RD NE UNIT 1004
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1766
Practice Address - Country:US
Practice Address - Phone:404-955-6727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-18
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty