Provider Demographics
NPI:1932774999
Name:GOOD, ERICA (DOULA)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:GOOD
Suffix:
Gender:M
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1749 E CURTIS RD
Mailing Address - Street 2:
Mailing Address - City:HOPE
Mailing Address - State:MI
Mailing Address - Zip Code:48628-9708
Mailing Address - Country:US
Mailing Address - Phone:989-708-7969
Mailing Address - Fax:
Practice Address - Street 1:1749 E CURTIS RD
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:MI
Practice Address - Zip Code:48628-9708
Practice Address - Country:US
Practice Address - Phone:989-708-7969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-23
Last Update Date:2021-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula