Provider Demographics
NPI:1962112698
Name:ONE VILLAGE FAMILY WELLNESS COLLECTIVE INCORPORATED
Entity type:Organization
Organization Name:ONE VILLAGE FAMILY WELLNESS COLLECTIVE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:REBEKAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTOINE
Authorized Official - Suffix:
Authorized Official - Credentials:DOULA
Authorized Official - Phone:754-274-3072
Mailing Address - Street 1:301 NE 152ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33162-5017
Mailing Address - Country:US
Mailing Address - Phone:754-274-3072
Mailing Address - Fax:
Practice Address - Street 1:301 NE 152ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33162-5017
Practice Address - Country:US
Practice Address - Phone:754-274-3072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-05
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty