Provider Demographics
NPI:1063307700
Name:MYSAFEPLACEBIRTHCOACH LLC
Entity type:Organization
Organization Name:MYSAFEPLACEBIRTHCOACH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOULA/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:
Authorized Official - Last Name:SORIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-643-0417
Mailing Address - Street 1:11392 TROTTER LN
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92337-9035
Mailing Address - Country:US
Mailing Address - Phone:909-643-0417
Mailing Address - Fax:
Practice Address - Street 1:11392 TROTTER LN
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92337-9035
Practice Address - Country:US
Practice Address - Phone:909-643-0417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty