Healthcare Provider Details

I. General information

NPI: 1013837285
Provider Name (Legal Business Name): GOLDEN MONTHS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6316 SAVANNAH DR
BRANDYWINE MD
20613-7693
US

IV. Provider business mailing address

6316 SAVANNAH DR
BRANDYWINE MD
20613-7693
US

V. Phone/Fax

Practice location:
  • Phone: 833-611-4653
  • Fax:
Mailing address:
  • Phone: 833-611-4653
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BRANDON SCOTT LEGRANT
Title or Position: CEO
Credential:
Phone: 470-990-5958