Provider Demographics
NPI:1992570352
Name:HAVEN PLACE DOULAS LLC
Entity type:Organization
Organization Name:HAVEN PLACE DOULAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:CHEYENNE
Authorized Official - Middle Name:N
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-484-2048
Mailing Address - Street 1:PO BOX 560051
Mailing Address - Street 2:
Mailing Address - City:WEST MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02156-0051
Mailing Address - Country:US
Mailing Address - Phone:781-484-2048
Mailing Address - Fax:
Practice Address - Street 1:301 MASS AVE
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-4151
Practice Address - Country:US
Practice Address - Phone:781-484-2048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-16
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty