Provider Demographics
NPI:1407621725
Name:SOUL GOOD DOULAS LLC
Entity type:Organization
Organization Name:SOUL GOOD DOULAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REYNA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:CASMIR
Authorized Official - Suffix:
Authorized Official - Credentials:CD(DONA)
Authorized Official - Phone:254-281-2822
Mailing Address - Street 1:1001 N TWIN CREEK DR APT 604
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76543-4247
Mailing Address - Country:US
Mailing Address - Phone:254-281-2822
Mailing Address - Fax:
Practice Address - Street 1:1001 N TWIN CREEK DR APT 604
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76543-4247
Practice Address - Country:US
Practice Address - Phone:254-281-2822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-16
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty