MAHOGANY MATERNITY
NPI 1700419249
Doula in South Bend, IN

Active since February 12, 2020
22500 LINCOLN WAY WEST, SOUTH BEND, IN 46628(574) 383-1743 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Doula

About MAHOGANY MATERNITY

This page provides the complete NPI Profile along with additional information for Mahogany Maternity, a provider established in South Bend, Indiana operating as a Doula. The healthcare provider is registered in the NPI registry with number 1700419249 assigned on February 2020. The practitioner's primary taxonomy code is 374J00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Mahogany Maternity operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Kelli Nicole Brien Cd(dona) Cls, Lcce (Owner)

NPI
1700419249 Verify this NPI
Provider Name
MAHOGANY MATERNITY
Entity Type
Organization
Location Address
22500 LINCOLN WAY WEST SOUTH BEND, IN 46628
Location Phone
(574) 383-1743
Mailing Address
22500 LINCOLN WAY WEST SOUTH BEND, IN 46628
Mailing Phone
(574) 383-1743
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-12-2020
Last Update Date
02-12-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Doula

Taxonomy Code
374J00000X
Type
Nursing Service Related Providers
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KELLI NICOLE BRIEN CD(DONA) CLS, LCCE

Authorized Official Title
OWNER
Authorized Official Phone
(574) 383-1743

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700419249, enumerated as an "organization" on February 12, 2020.

The provider is located at 22500 LINCOLN WAY WEST SOUTH BEND, IN 46628 and the phone number is (574) 383-1743.

Doula with taxonomy code 374J00000X.