Provider Demographics
NPI:1689439218
Name:ARKANSAS DOULAS LLC
Entity Type:Organization
Organization Name:ARKANSAS DOULAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SONDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODOCKER
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:501-291-0063
Mailing Address - Street 1:10825 KANIS RD
Mailing Address - Street 2:STE 300
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-3804
Mailing Address - Country:US
Mailing Address - Phone:501-291-0063
Mailing Address - Fax:
Practice Address - Street 1:10825 KANIS RD
Practice Address - Street 2:STE 300
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-3804
Practice Address - Country:US
Practice Address - Phone:501-291-0063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty