Provider Demographics
NPI:1528116076
Name:GENTLE CHOICES BIRTH CENTER
Entity type:Organization
Organization Name:GENTLE CHOICES BIRTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARDS
Authorized Official - Middle Name:
Authorized Official - Last Name:BARHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-244-7581
Mailing Address - Street 1:1424 SAINT JOHN ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-3642
Mailing Address - Country:US
Mailing Address - Phone:337-706-7160
Mailing Address - Fax:337-706-7163
Practice Address - Street 1:1424 SAINT JOHN ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-3642
Practice Address - Country:US
Practice Address - Phone:337-706-7160
Practice Address - Fax:337-706-7163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LANOT AVAILABLE261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing