Provider Demographics
NPI:1063389971
Name:IVY JADE DOULA & WELLNESS LLC
Entity type:Organization
Organization Name:IVY JADE DOULA & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ISIS
Authorized Official - Middle Name:KATHERINE
Authorized Official - Last Name:FIGURES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-595-9033
Mailing Address - Street 1:1900 S CEDAR ST APT 324
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-9196
Mailing Address - Country:US
Mailing Address - Phone:313-595-9033
Mailing Address - Fax:
Practice Address - Street 1:1900 S CEDAR ST APT 324
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-9196
Practice Address - Country:US
Practice Address - Phone:313-595-9033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty