Provider Demographics
NPI:1104683291
Name:NURTURE AND CONNECT DOULA SERVICES LLC
Entity type:Organization
Organization Name:NURTURE AND CONNECT DOULA SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-749-1027
Mailing Address - Street 1:6526 GLENKIRK DR
Mailing Address - Street 2:
Mailing Address - City:DIMONDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48821-9425
Mailing Address - Country:US
Mailing Address - Phone:517-749-1027
Mailing Address - Fax:888-690-5171
Practice Address - Street 1:6526 GLENKIRK DR
Practice Address - Street 2:
Practice Address - City:DIMONDALE
Practice Address - State:MI
Practice Address - Zip Code:48821-9425
Practice Address - Country:US
Practice Address - Phone:517-749-1027
Practice Address - Fax:888-690-5171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty