BLACK WELLNESS & PROSPERITY CENTER NPI 1619591179

NPI Information

  • NPI: 1619591179
  • Provider Name: BLACK WELLNESS & PROSPERITY CENTER
  • Classification: Doula - 374J00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 05D2301992
  • Address: 2201 CALAVERAS ST
    FRESNO, CA
    ZIP 93721
  • Phone: (559) 478-5912

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NPI Details

BLACK WELLNESS & PROSPERITY CENTER is a doula in Fresno, CA. The provider is doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period. BLACK WELLNESS & PROSPERITY CENTER NPI is 1619591179. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

2201 CALAVERAS ST
FRESNO, CA
ZIP 93721-103
Phone: (559) 478-5912

The provider's authorized official is Shantay Renee Davies-balch .
The authorized official title is President & Ceo and has the following contact phone number (559) 790-1905.

The CLIA number assigned to this NPI record is 05D2301992 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2020 and was last updated on 2/26/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171M00000XCase Manager/Care CoordinatorNo
2251C00000XDay Training, Developmentally Disabled ServicesNo
3261Q00000XClinic/CenterNo
4374J00000XDoulaYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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