Individual
ODESSA BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 ROCKLAND DR, PITTSFIELD, MA 01201-8418
(413) 642-1165
Mailing address
27 ROCKLAND DR, PITTSFIELD, MA 01201-8418
(413) 642-1165
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
105
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110027991
—
MA
05
—
1306461
—
MA
05
—
1308785
—
MA
01
—
22220002001
BLUE CROSS OF MASS
MA
01
—
M18684
BLUE CROSS BLUE SHEILD
MA
Enumeration date
10/09/2012
Last updated
11/29/2023
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