Organization Active NPI

Create Your Life Doula and Coaching Services

  • Doula
  • Stockbridge, GA
National Provider Identifier
1124739834
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
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

Updated by the provider on Dec 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bashellia R WilliamsNPI 1639880438
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)CodeLicenseStatePrimary
DoulaGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.