Healthcare Provider Details

I. General information

NPI: 1124956057
Provider Name (Legal Business Name): GENIE MORELUS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 HOUSTON AVE UNIT 1
MILTON MA
02186-1515
US

IV. Provider business mailing address

51 HOUSTON AVE UNIT 1
MILTON MA
02186-1515
US

V. Phone/Fax

Practice location:
  • Phone: 617-212-9816
  • Fax:
Mailing address:
  • Phone: 617-212-9816
  • Fax:

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: