Provider Demographics
NPI:1891518718
Name:LUXURIOUS DOULA SERVICES
Entity type:Organization
Organization Name:LUXURIOUS DOULA SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOULA
Authorized Official - Prefix:
Authorized Official - First Name:LASANDRA
Authorized Official - Middle Name:SANARD
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:CD,PD
Authorized Official - Phone:910-405-4280
Mailing Address - Street 1:1233 HAMMOND DR
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-5111
Mailing Address - Country:US
Mailing Address - Phone:910-405-4280
Mailing Address - Fax:
Practice Address - Street 1:420 FAIRLY ST STE B
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-3612
Practice Address - Country:US
Practice Address - Phone:910-405-4280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-07
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty