Healthcare Provider Details
I. General information
NPI: 1821924663
Provider Name (Legal Business Name): G.L.O.W BIRTH & FAMILY SUPPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9315 TELEGRAPH RD
REDFORD MI
48239-1260
US
IV. Provider business mailing address
9315 TELEGRAPH RD
REDFORD MI
48239-1260
US
V. Phone/Fax
- Phone: 313-676-1728
- Fax:
- Phone: 313-676-1728
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 374J00000X |
| Taxonomy | Doula |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STARLETTE
GAYLE
ROWLAND
Title or Position: OWNER/ DOULA
Credential:
Phone: 313-676-1728