Healthcare Provider Details

I. General information

NPI: 1831023340
Provider Name (Legal Business Name): DOULA ALLIANCE OF ARKANSAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 QUINCY CV
JACKSONVILLE AR
72076-3326
US

IV. Provider business mailing address

PO BOX 345
JACKSONVILLE AR
72078-0345
US

V. Phone/Fax

Practice location:
  • Phone: 501-570-6067
  • Fax:
Mailing address:
  • Phone: 501-570-6067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: LIYAH WASSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 501-339-8486