Provider Demographics
NPI:1306628920
Name:DELIGHTED TO DOULA BIRTH SERVICES
Entity type:Organization
Organization Name:DELIGHTED TO DOULA BIRTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:PRINSCILLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:CPD
Authorized Official - Phone:248-445-0126
Mailing Address - Street 1:PO BOX 1533
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-3207
Mailing Address - Country:US
Mailing Address - Phone:248-445-0126
Mailing Address - Fax:
Practice Address - Street 1:5600 ROSS AVE STE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-7926
Practice Address - Country:US
Practice Address - Phone:469-269-6671
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-18
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty