Provider Demographics
NPI:1669973103
Name:BIRTHING SWEET
Entity type:Organization
Organization Name:BIRTHING SWEET
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSED MIDWIFE
Authorized Official - Prefix:MRS
Authorized Official - First Name:MOLLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:LM, CPM, LMT
Authorized Official - Phone:817-658-5064
Mailing Address - Street 1:9036 N MONTERREY DR
Mailing Address - Street 2:
Mailing Address - City:ALVARADO
Mailing Address - State:TX
Mailing Address - Zip Code:76009-4531
Mailing Address - Country:US
Mailing Address - Phone:817-658-5064
Mailing Address - Fax:888-876-1933
Practice Address - Street 1:9036 N MONTERREY DR
Practice Address - Street 2:
Practice Address - City:ALVARADO
Practice Address - State:TX
Practice Address - Zip Code:76009-4531
Practice Address - Country:US
Practice Address - Phone:817-658-5064
Practice Address - Fax:888-876-1933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-21
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX150064261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing