Provider Demographics
NPI:1548065154
Name:YOUR BIRTH STORY BIRTH SERVICES LLC
Entity type:Organization
Organization Name:YOUR BIRTH STORY BIRTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND CERTIFIED DOULA
Authorized Official - Prefix:
Authorized Official - First Name:BRIONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-759-6943
Mailing Address - Street 1:2040 S ALMA SCHOOL RD STE 1-156
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-7075
Mailing Address - Country:US
Mailing Address - Phone:623-759-6943
Mailing Address - Fax:
Practice Address - Street 1:2040 S ALMA SCHOOL RD STE 1-156
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-7075
Practice Address - Country:US
Practice Address - Phone:623-759-6943
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center