Healthcare Provider Details

I. General information

NPI: 1770417420
Provider Name (Legal Business Name): NORTH STAR BIRTHING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6250 S CEDAR ST STE 13-105
LANSING MI
48911-5744
US

IV. Provider business mailing address

6250 S CEDAR ST STE 13-105
LANSING MI
48911-5744
US

V. Phone/Fax

Practice location:
  • Phone: 231-660-1677
  • 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: DOMONIQUE BRACE
Title or Position: DOULA/OWNER
Credential:
Phone: 231-660-1677