Provider Demographics
NPI:1215300496
Name:TEEN DOULA PROJECT
Entity type:Organization
Organization Name:TEEN DOULA PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOULA
Authorized Official - Prefix:
Authorized Official - First Name:RANEE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAPOINTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-939-3475
Mailing Address - Street 1:365 SANDERS ST
Mailing Address - Street 2:
Mailing Address - City:ATHOL
Mailing Address - State:MA
Mailing Address - Zip Code:01331-3005
Mailing Address - Country:US
Mailing Address - Phone:978-393-3475
Mailing Address - Fax:
Practice Address - Street 1:365 SANDERS ST
Practice Address - Street 2:
Practice Address - City:ATHOL
Practice Address - State:MA
Practice Address - Zip Code:01331-3005
Practice Address - Country:US
Practice Address - Phone:978-393-3475
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-10
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty