Provider Demographics
NPI:1689422867
Name:AMERICAN DOULA ASSOCIATION
Entity type:Organization
Organization Name:AMERICAN DOULA ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:HALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-228-5957
Mailing Address - Street 1:355 PINE SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:DEBARY
Mailing Address - State:FL
Mailing Address - Zip Code:32713-3729
Mailing Address - Country:US
Mailing Address - Phone:386-228-5957
Mailing Address - Fax:
Practice Address - Street 1:156 S CHARLES RICHARD BEALL BLVD
Practice Address - Street 2:
Practice Address - City:DEBARY
Practice Address - State:FL
Practice Address - Zip Code:32713-3273
Practice Address - Country:US
Practice Address - Phone:386-228-5957
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN DOULA ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-11
Last Update Date:2024-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty