Provider Demographics
NPI:1871282236
Name:LIVING, SADE KAITLYN (CERTIFIED DOULA)
Entity type:Individual
Prefix:
First Name:SADE
Middle Name:KAITLYN
Last Name:LIVING
Suffix:
Gender:F
Credentials:CERTIFIED DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30011 S LAKE FALLS CIR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-2897
Mailing Address - Country:US
Mailing Address - Phone:832-319-0930
Mailing Address - Fax:
Practice Address - Street 1:30011 S LAKE FALLS CIR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-2897
Practice Address - Country:US
Practice Address - Phone:832-319-0930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6165374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula