Healthcare Provider Details

I. General information

NPI: 1467824664
Provider Name (Legal Business Name): THE NATURAL MOMMA ME INITIATIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2015
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11000 W MCNICHOLS RD STE 323
DETROIT MI
48221-2393
US

IV. Provider business mailing address

11000 W MCNICHOLS RD STE 323
DETROIT MI
48221-2393
US

V. Phone/Fax

Practice location:
  • Phone: 313-757-5427
  • Fax:
Mailing address:
  • Phone: 313-757-5427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: AISHA YOUNG
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 313-757-5427