Provider Demographics
NPI:1043038045
Name:EMPOWERED DOULA SERVICES LLC
Entity type:Organization
Organization Name:EMPOWERED DOULA SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARINER SMULSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-844-5779
Mailing Address - Street 1:199 WALDO RD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122-5230
Mailing Address - Country:US
Mailing Address - Phone:443-844-5779
Mailing Address - Fax:
Practice Address - Street 1:199 WALDO RD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-5230
Practice Address - Country:US
Practice Address - Phone:443-844-5779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty