Provider Demographics
NPI:1588427116
Name:LOUISE DOULA & FAMILY HEALTH SERVICES L.L.C.
Entity type:Organization
Organization Name:LOUISE DOULA & FAMILY HEALTH SERVICES L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FULL SPECTRUM DOULA
Authorized Official - Prefix:MISS
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, CD, LEC
Authorized Official - Phone:408-466-9150
Mailing Address - Street 1:209 FAIRWAY GLEN LN
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95139-1521
Mailing Address - Country:US
Mailing Address - Phone:408-466-9150
Mailing Address - Fax:
Practice Address - Street 1:209 FAIRWAY GLEN LN
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95139-1521
Practice Address - Country:US
Practice Address - Phone:408-466-9150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty
No251K00000XAgenciesPublic Health or Welfare