Provider Demographics
NPI:1427288000
Name:LABARGE, CARRIE LOUISE (DOULA, LCE, CBS, RYT)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:LOUISE
Last Name:LABARGE
Suffix:
Gender:
Credentials:DOULA, LCE, CBS, RYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2379 N BAILEY RD
Mailing Address - Street 2:
Mailing Address - City:CORAL
Mailing Address - State:MI
Mailing Address - Zip Code:49322-9754
Mailing Address - Country:US
Mailing Address - Phone:616-648-0444
Mailing Address - Fax:
Practice Address - Street 1:680 3 MILE RD NW
Practice Address - Street 2:SUITE C
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49544-8218
Practice Address - Country:US
Practice Address - Phone:616-617-8748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-17
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty