Healthcare Provider Details
I. General information
NPI: 1710806187
Provider Name (Legal Business Name): SERENAR DOULA EXPERIENCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11 LYNNFIELD ST
BEDFORD MA
01730-2517
US
IV. Provider business mailing address
11 LYNNFIELD ST
BEDFORD MA
01730-2517
US
V. Phone/Fax
- Phone: 857-326-2484
- Fax:
- Phone: 857-326-2484
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 374J00000X |
| Taxonomy | Doula |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FRANCINE
CARVALHO PETROCELLI
Title or Position: OWNER
Credential:
Phone: 857-326-2484