Healthcare Provider Details

I. General information

NPI: 1801717780
Provider Name (Legal Business Name): MOORE 2 LOVE DOULA SERVICES
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

1815 LAFAYETTE AVE SE
GRAND RAPIDS MI
49507-2533
US

IV. Provider business mailing address

1815 LAFAYETTE AVE SE
GRAND RAPIDS MI
49507-2533
US

V. Phone/Fax

Practice location:
  • Phone: 616-258-6474
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LYANNA R MOORE
Title or Position: DOULA/OWNER
Credential: CD, CLS
Phone: 313-663-1833