Healthcare Provider Details

I. General information

NPI: 1942037478
Provider Name (Legal Business Name): YEMAYAS VILLAGE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2024
Last Update Date: 09/18/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3205 ORLEANS AVE
NEW ORLEANS LA
70119-3916
US

IV. Provider business mailing address

3205 ORLEANS AVE
NEW ORLEANS LA
70119-3916
US

V. Phone/Fax

Practice location:
  • Phone: 504-389-3505
  • 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: MRS. ANGELICA DIONRE WILLIAMS
Title or Position: FOUNDER/ EXECUTIVE DIRECTOR
Credential:
Phone: 337-321-2692