Provider Demographics
NPI:1578380895
Name:THE DOULA PLUG LLC
Entity type:Organization
Organization Name:THE DOULA PLUG LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOULA
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATANISHA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:WALKER WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-650-1914
Mailing Address - Street 1:1601 CYPRESS E
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-4024
Mailing Address - Country:US
Mailing Address - Phone:216-650-1914
Mailing Address - Fax:
Practice Address - Street 1:1601 CYPRESS E
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-4024
Practice Address - Country:US
Practice Address - Phone:216-650-1914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty