Provider Demographics
NPI:1275127839
Name:THE GEECHIE DOULA
Entity Type:Organization
Organization Name:THE GEECHIE DOULA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOULA
Authorized Official - Prefix:
Authorized Official - First Name:MONICANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DOULA
Authorized Official - Phone:843-425-1263
Mailing Address - Street 1:11514 ALLEN A BROWN RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-1108
Mailing Address - Country:US
Mailing Address - Phone:843-425-1263
Mailing Address - Fax:
Practice Address - Street 1:11514 ALLEN A BROWN RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-1108
Practice Address - Country:US
Practice Address - Phone:807-850-6209
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-24
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty