| Doctor Name: | TINA BLACK |
| NPI Number: | 1083982045 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 210 Sparks Dr Kelso, WA - 986261818 |
| Business Phone Number: | 3604318275 |
| Business Fax Number: | |
| Mailing Address: | Po Box 796, KELSO |
| State: | WA |
| Postal Code: | 986260069 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/06/2011 |
| NPI Last Update Date: | 12/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 374J00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Nursing Service Related Providers |
| Taxonomy Classification: | Doula |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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. |