Provider Demographics
NPI:1588410153
Name:THE BRANCHES OF BIRTH LLC
Entity type:Organization
Organization Name:THE BRANCHES OF BIRTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOULA AND OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASYIA
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-630-5595
Mailing Address - Street 1:974 THOUSAND OAKS DRIVE
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454
Mailing Address - Country:US
Mailing Address - Phone:757-630-5595
Mailing Address - Fax:
Practice Address - Street 1:923 FIRST COLONIAL ROAD
Practice Address - Street 2:SUITE 2
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454
Practice Address - Country:US
Practice Address - Phone:757-504-0716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty