Provider Demographics
NPI:1992219620
Name:BLAIR, HAILEY ANN (DOULA)
Entity type:Individual
Prefix:
First Name:HAILEY
Middle Name:ANN
Last Name:BLAIR
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:HAILEY
Other - Middle Name:ANN
Other - Last Name:CHOATE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SUDCC
Mailing Address - Street 1:1637 S MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:WILLITS
Mailing Address - State:CA
Mailing Address - Zip Code:95490-4324
Mailing Address - Country:US
Mailing Address - Phone:707-671-4193
Mailing Address - Fax:
Practice Address - Street 1:1637 S MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:WILLITS
Practice Address - State:CA
Practice Address - Zip Code:95490-4324
Practice Address - Country:US
Practice Address - Phone:707-671-4193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-16
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)