Healthcare Provider Details

I. General information

NPI: 1265369847
Provider Name (Legal Business Name): NURIS GARDEN DOULA SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29653 WAGNER DR
WARREN MI
48093-8634
US

IV. Provider business mailing address

29653 WAGNER DR
WARREN MI
48093-8634
US

V. Phone/Fax

Practice location:
  • Phone: 313-800-1619
  • Fax:
Mailing address:
  • Phone: 313-800-1619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CHENEIL MAJOR
Title or Position: OWNER
Credential:
Phone: 313-800-1619