Organization
GENNISI LLC
Active
Other names
Haven Birth & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY RENEE COLLIE LM CPM (OWNER)
(512) 567-6092
Entity
Organization
Contact information
Practice address
1407 N WATER ST, BURNET, TX 78611-1012
(512) 686-6262
(512) 817-4741
Mailing address
1407 N WATER ST, BURNET, TX 78611-1012
(512) 686-6262
(512) 817-4741
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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