Provider Demographics
NPI:1962811703
Name:POSITIVE BIRTH COMMUNITY
Entity type:Organization
Organization Name:POSITIVE BIRTH COMMUNITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOULA
Authorized Official - Prefix:
Authorized Official - First Name:NIKI
Authorized Official - Middle Name:KATE
Authorized Official - Last Name:LECLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:CD
Authorized Official - Phone:530-545-9009
Mailing Address - Street 1:4318 ROCK HILL RD
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681
Mailing Address - Country:US
Mailing Address - Phone:530-545-9009
Mailing Address - Fax:
Practice Address - Street 1:4318 ROCK HILL RD
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681
Practice Address - Country:US
Practice Address - Phone:530-545-9009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-06
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty