Provider Demographics
NPI:1902617111
Name:GENTLE BIRTHING IN SOUTHEAST MICHIGAN, LLC
Entity type:Organization
Organization Name:GENTLE BIRTHING IN SOUTHEAST MICHIGAN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOULA
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:EBERLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-278-4974
Mailing Address - Street 1:2861 CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MI
Mailing Address - Zip Code:48063-4216
Mailing Address - Country:US
Mailing Address - Phone:803-207-4701
Mailing Address - Fax:
Practice Address - Street 1:2861 CHURCH RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MI
Practice Address - Zip Code:48063-4216
Practice Address - Country:US
Practice Address - Phone:810-278-4974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty