Healthcare Provider Details

I. General information

NPI: 1275437006
Provider Name (Legal Business Name): DEE SERENITY DOULA SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9165 BOURBON ST APT C
LAUREL MD
20723-1643
US

IV. Provider business mailing address

9165 BOURBON ST APT C
LAUREL MD
20723-1643
US

V. Phone/Fax

Practice location:
  • Phone: 804-436-7509
  • Fax:
Mailing address:
  • Phone: 804-436-7509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DIERRA GREEN
Title or Position: DOULA
Credential: CD (DONA)
Phone: 804-436-7509