Provider Demographics
NPI:1528873767
Name:HARAMBEE DOULA CARE HOLISTIC SERVICES
Entity type:Organization
Organization Name:HARAMBEE DOULA CARE HOLISTIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINIC SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:TEHMINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ISLAM
Authorized Official - Suffix:
Authorized Official - Credentials:CPM, LM
Authorized Official - Phone:608-445-5385
Mailing Address - Street 1:1213 N SHERMAN AVENUE
Mailing Address - Street 2:#297
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-4236
Mailing Address - Country:US
Mailing Address - Phone:608-445-5385
Mailing Address - Fax:866-689-5370
Practice Address - Street 1:6602 GRAND TETON PLAZA
Practice Address - Street 2:SUITE 100
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-1091
Practice Address - Country:US
Practice Address - Phone:608-445-5385
Practice Address - Fax:866-689-5370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health