Provider Demographics
NPI:1043093644
Name:LABOR OF LOVE LLC
Entity Type:Organization
Organization Name:LABOR OF LOVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CARVONSHA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:SHAW
Authorized Official - Suffix:
Authorized Official - Credentials:DOULA
Authorized Official - Phone:615-337-9249
Mailing Address - Street 1:513 CHARLES DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-2616
Mailing Address - Country:US
Mailing Address - Phone:615-756-7581
Mailing Address - Fax:
Practice Address - Street 1:513 CHARLES DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-2616
Practice Address - Country:US
Practice Address - Phone:615-756-7581
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty