Healthcare Provider Details

I. General information

NPI: 1457272338
Provider Name (Legal Business Name): SACRED BEGINNINGS DOULA SERVICES BY KEYIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 COLFAX ST NE APT 1
GRAND RAPIDS MI
49505-4909
US

IV. Provider business mailing address

32 COLFAX ST NE APT 1
GRAND RAPIDS MI
49505-4909
US

V. Phone/Fax

Practice location:
  • Phone: 616-409-9220
  • Fax:
Mailing address:
  • Phone: 616-409-9220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SHAKEYIA L TAYLOR
Title or Position: DOULA
Credential: DOULA CERTIFICATE
Phone: 616-409-9220