Provider Demographics
NPI:1902626351
Name:BY YOUR SIDE DOULA JULIE LLC
Entity type:Organization
Organization Name:BY YOUR SIDE DOULA JULIE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED BIRTH DOULA
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BASEM
Authorized Official - Suffix:
Authorized Official - Credentials:CBD, CLC
Authorized Official - Phone:347-561-8795
Mailing Address - Street 1:3938 EVE DR
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-1553
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3938 EVE DR
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:NY
Practice Address - Zip Code:11783-1553
Practice Address - Country:US
Practice Address - Phone:347-561-8795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty