Provider Demographics
NPI:1902047939
Name:TRUE BLUE DOULAS, INC
Entity Type:Organization
Organization Name:TRUE BLUE DOULAS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CETTA
Authorized Official - Middle Name:B
Authorized Official - Last Name:BARNHART
Authorized Official - Suffix:
Authorized Official - Credentials:CD, CLC, CBE
Authorized Official - Phone:267-259-0703
Mailing Address - Street 1:680 W HALPIN RD
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:FL
Mailing Address - Zip Code:32344-0310
Mailing Address - Country:US
Mailing Address - Phone:267-259-0703
Mailing Address - Fax:850-342-3344
Practice Address - Street 1:680 W HALPIN RD
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:FL
Practice Address - Zip Code:32344-0310
Practice Address - Country:US
Practice Address - Phone:267-259-0703
Practice Address - Fax:850-342-3344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-21
Last Update Date:2009-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty