Provider Demographics
NPI:1225905821
Name:SUNCOAST DOULA
Entity type:Organization
Organization Name:SUNCOAST DOULA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOULA
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:FEMALE
Authorized Official - Last Name:GLASS
Authorized Official - Suffix:
Authorized Official - Credentials:CD
Authorized Official - Phone:502-751-8770
Mailing Address - Street 1:4519 MACEACHEN BLVD FL 34233
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-1733
Mailing Address - Country:US
Mailing Address - Phone:502-751-8770
Mailing Address - Fax:502-751-8770
Practice Address - Street 1:4519 MACEACHEN BLVD FL 34233
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-1733
Practice Address - Country:US
Practice Address - Phone:502-751-8770
Practice Address - Fax:502-751-8770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-20
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty