Provider Demographics
NPI:1740995125
Name:METRO DETROIT DOULA SERVICES
Entity type:Organization
Organization Name:METRO DETROIT DOULA SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:STAINBROOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-453-4997
Mailing Address - Street 1:PO BOX 210994
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48321-0994
Mailing Address - Country:US
Mailing Address - Phone:586-960-5993
Mailing Address - Fax:
Practice Address - Street 1:2476 MERCURY DR
Practice Address - Street 2:
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48360-1960
Practice Address - Country:US
Practice Address - Phone:248-453-4997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care