Provider Demographics
NPI:1700625233
Name:THE TRINITY BIRTH CENTER FOR WOMENS HEALTH AND EDUCATION
Entity type:Organization
Organization Name:THE TRINITY BIRTH CENTER FOR WOMENS HEALTH AND EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / DOULA
Authorized Official - Prefix:
Authorized Official - First Name:TESA
Authorized Official - Middle Name:L
Authorized Official - Last Name:LUBANS DEHAVEN
Authorized Official - Suffix:
Authorized Official - Credentials:CD, LM CPM, PD, LE
Authorized Official - Phone:303-845-0630
Mailing Address - Street 1:PO BOX 585
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS CITY
Mailing Address - State:CA
Mailing Address - Zip Code:96024-0585
Mailing Address - Country:US
Mailing Address - Phone:303-845-0630
Mailing Address - Fax:
Practice Address - Street 1:3125 VALENTINE LN
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-3911
Practice Address - Country:US
Practice Address - Phone:303-845-0630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty