Provider Demographics
NPI:1477251056
Name:BE DOULAFUL
Entity Type:Organization
Organization Name:BE DOULAFUL
Other - Org Name:BE DOULAFUL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOULA
Authorized Official - Prefix:
Authorized Official - First Name:AUBRIEANA
Authorized Official - Middle Name:ATALIA
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-285-6856
Mailing Address - Street 1:1419 REO AVE
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-1444
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1419 REO AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-1444
Practice Address - Country:US
Practice Address - Phone:517-285-6856
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-22
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing