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Organization
MAGNOLIA BIRTH HOUSE
Active
Organization
MAGNOLIA BIRTH HOUSE
Active
Other names
Blue Mountain Midwives
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA TAITT MS (OWNER)
(786) 953-6417
Entity
Organization
Contact information
Practice address
5810 BISCAYNE BLVD, MIAMI, FL 33137-2639
(786) 953-6417
Mailing address
5810 BISCAYNE BLVD, MIAMI, FL 33137-2639
(786) 953-6417
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
NULL
164W00000X
Licensed Practical Nurse
—
—
174N00000X
Lactation Consultant (Non-RN)
—
NULL
174N00000X
Lactation Consultant (Non-RN)
—
—
176B00000X
Midwife
Primary
—
NULL
176B00000X
Midwife
Primary
—
—
207VG0400X
Gynecology Physician
—
NULL
207VG0400X
Gynecology Physician
—
—
207VX0000X
Obstetrics Physician
—
NULL
207VX0000X
Obstetrics Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
367A00000X
Advanced Practice Midwife
—
NULL
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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