Provider Demographics
NPI:1093435117
Name:DOULA 4 YOU WITH LOVE
Entity Type:Organization
Organization Name:DOULA 4 YOU WITH LOVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED BIRTH DOULA
Authorized Official - Prefix:MRS
Authorized Official - First Name:JERALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-920-4569
Mailing Address - Street 1:105 DORIS DR
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-8024
Mailing Address - Country:US
Mailing Address - Phone:919-920-4569
Mailing Address - Fax:919-288-1370
Practice Address - Street 1:105 DORIS DR
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-8024
Practice Address - Country:US
Practice Address - Phone:919-920-4569
Practice Address - Fax:919-288-1370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty