Healthcare Provider Details

I. General information

NPI: 1083548416
Provider Name (Legal Business Name): NURTURECARE DOULA SERVICES
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

4118 D YOUVILLE TRCE
CHAMBLEE GA
30341-1433
US

IV. Provider business mailing address

4118 D YOUVILLE TRCE
CHAMBLEE GA
30341-1433
US

V. Phone/Fax

Practice location:
  • Phone: 404-594-3414
  • Fax:
Mailing address:
  • Phone: 404-594-3414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHANNA COX
Title or Position: OWNER
Credential:
Phone: 813-431-6734