Active NPI
Create Your Life Doula and Coaching Services
- Doula
- Stockbridge, GA
National Provider Identifier
1124739834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Legal business name
- CREATE YOUR LIFE DOULA AND COACHING SERVICES
- Practice address
- 1345 Kent MNR
Stockbridge, GA 30281-7926 - Phone
- (404) 418-2917
- NPI assigned
- Dec 13, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bashellia R Williams
- Title
- Founder and Ceo
- Phone
- (404) 418-2917
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
1345 Kent MNR
Stockbridge, GA 30281-7926
Mailing address
PO Box 658
Stockbridge, GA 30281-0658
Phone (404) 418-2917
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Doula
- Riverdale, GA
- NPI 1639880438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670889600000",
"number": "1124739834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 658",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302810658",
"telephone_number": "404-418-2917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 KENT MNR",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302817926",
"telephone_number": "404-418-2917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREATE YOUR LIFE DOULA AND COACHING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-13",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "BASHELLIA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "FOUNDER AND CEO",
"authorized_official_telephone_number": "404-418-2917"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.