Healthcare Provider Details

I. General information

NPI: 1841102555
Provider Name (Legal Business Name): PURE SUPPORT DOULA SERVICESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5637 NASHVILLE AVE
BATON ROUGE LA
70812-2638
US

IV. Provider business mailing address

4069 ELM DR
BATON ROUGE LA
70805-5217
US

V. Phone/Fax

Practice location:
  • Phone: 601-786-1813
  • Fax:
Mailing address:
  • Phone: 601-786-1813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: SALEEMAH MUHAMMAD
Title or Position: OWNER
Credential: CD, CBC
Phone: 601-786-1813