Provider Demographics
NPI:1528942299
Name:LIFE ABUNDANTLY DOULA SERVICES
Entity type:Organization
Organization Name:LIFE ABUNDANTLY DOULA SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELLE
Authorized Official - Middle Name:ALEYSE
Authorized Official - Last Name:LASALLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-590-8177
Mailing Address - Street 1:128 HIAWATHA LN
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-2483
Mailing Address - Country:US
Mailing Address - Phone:302-590-8177
Mailing Address - Fax:
Practice Address - Street 1:128 HIAWATHA LN
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-2483
Practice Address - Country:US
Practice Address - Phone:302-590-8177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty