Provider Demographics
NPI:1962277830
Name:ALPHA & OMEGA THERAPY AND DOULA SERVICES INC.
Entity type:Organization
Organization Name:ALPHA & OMEGA THERAPY AND DOULA SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LBP
Authorized Official - Phone:918-812-5315
Mailing Address - Street 1:25211 E 64TH ST S
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74014-2214
Mailing Address - Country:US
Mailing Address - Phone:918-812-5315
Mailing Address - Fax:
Practice Address - Street 1:25211 E 64TH ST S
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74014-2214
Practice Address - Country:US
Practice Address - Phone:918-812-5315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty