Healthcare Provider Details

I. General information

NPI: 1760399323
Provider Name (Legal Business Name): VITA NOVA DOULA SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8011 GEORGE CAIN RD
BATON ROUGE LA
70809-5103
US

IV. Provider business mailing address

8011 GEORGE CAIN RD
BATON ROUGE LA
70809-5103
US

V. Phone/Fax

Practice location:
  • Phone: 225-288-6870
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TIAJUANNA WILLIAMS
Title or Position: BIRTHING DOULA
Credential:
Phone: 225-288-6870