Healthcare Provider Details

I. General information

NPI: 1508797630
Provider Name (Legal Business Name): GLORIOUS BEGINNINGS DOULA SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2160 CLEVELAND BLVD UNIT B
GRANITE CITY IL
62040-3332
US

IV. Provider business mailing address

2160 CLEVELAND BLVD UNIT B
GRANITE CITY IL
62040-3332
US

V. Phone/Fax

Practice location:
  • Phone: 730-255-1356
  • Fax: 730-255-1356
Mailing address:
  • Phone: 730-255-1356
  • Fax: 730-255-1356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TAYLOR SHY
Title or Position: MANAGER
Credential:
Phone: 730-255-1356