Healthcare Provider Details

I. General information

NPI: 1144103003
Provider Name (Legal Business Name): CAROL GONZALEZ LPN, DOULA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 POND MEADOW DR
MARSTONS MILLS MA
02648-1422
US

IV. Provider business mailing address

17 POND MEADOW DR
MARSTONS MILLS MA
02648-1422
US

V. Phone/Fax

Practice location:
  • Phone: 508-274-0943
  • Fax: 508-274-0943
Mailing address:
  • Phone: 508-274-0943
  • Fax: 508-274-0943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: