Provider Demographics
NPI:1386328482
Name:YOUR VISION DOULA
Entity type:Organization
Organization Name:YOUR VISION DOULA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED PERINATAL DOULA
Authorized Official - Prefix:
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNGIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-684-1352
Mailing Address - Street 1:2 ROSEART TER
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02842-4574
Mailing Address - Country:US
Mailing Address - Phone:401-524-7505
Mailing Address - Fax:
Practice Address - Street 1:2 ROSEART TER
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-4574
Practice Address - Country:US
Practice Address - Phone:401-524-7505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty