Cannamommy Holistic Botanicals, LLC

Organization Active NPI Doula · Fortuna, CA

NPI 1740111814 · NPPES record last updated May 27, 2026

Key facts

NPI
1740111814
Entity type
Organization (NPI type 2)
Primary specialty
Doula 374J00000X
Legal business name
CANNAMOMMY HOLISTIC BOTANICALS, LLC
Practice address
824 Crissy Way
Fortuna, CA 95540-3152
Phone
(970) 471-9251
NPI assigned
May 27, 2026
Organization subpart
No

Authorized official

Name
Kelly Usborne Bruce, DOULA
Title
Ceo
Phone
(970) 471-9251

Practitioners 1

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator
Group: 193200000X MULTI-SPECIALTY GROUP
174H00000X
Lactation Consultant (Non-RN)
Group: 193200000X MULTI-SPECIALTY GROUP
174N00000X
Doula
Group: 193200000X MULTI-SPECIALTY GROUP
374J00000X Yes

Addresses

Primary practice location

824 Crissy Way
Fortuna, CA 95540-3152

Mailing address

824 Crissy Way
Fortuna, CA 95540-3152

Other providers in Fortuna, CA

All providers in Fortuna, CA · Doula in California

Sources for this page

Verify at the official NPI Registry.