Provider Demographics
NPI:1992467047
Name:CULTURED PEACE SERVICES LLC
Entity Type:Organization
Organization Name:CULTURED PEACE SERVICES LLC
Other - Org Name:CROWNING JEWELS INTERNATIONAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOULA/ WELLNESS COACH
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:EOLD, CLD
Authorized Official - Phone:980-202-2368
Mailing Address - Street 1:7209 E W T HARRIS BLVD STE J
Mailing Address - Street 2:#306
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28227-1063
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7209 E W T HARRIS BLVD STE J306
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28227-1063
Practice Address - Country:US
Practice Address - Phone:980-202-2368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-06
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251K00000XAgenciesPublic Health or WelfareGroup - Single Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty
No175M00000XOther Service ProvidersMidwife, LayGroup - Single Specialty
No175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty
No251300000XAgenciesLocal Education Agency (LEA)Group - Single Specialty
No251G00000XAgenciesHospice Care, Community BasedGroup - Single Specialty
No252Y00000XAgenciesEarly Intervention Provider Agency
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No332900000XSuppliersNon-Pharmacy Dispensing SiteGroup - Single Specialty
No347C00000XTransportation ServicesPrivate VehicleGroup - Single Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty
No374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Single Specialty