Healthcare Provider Details

I. General information

NPI: 1336044627
Provider Name (Legal Business Name): CHRISTIAN DOULA FELLOWSHIP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2311 DOUBLE OAKS RD
CHARLOTTE NC
28206-1472
US

IV. Provider business mailing address

2311 DOUBLE OAKS RD
CHARLOTTE NC
28206-1472
US

V. Phone/Fax

Practice location:
  • Phone: 954-450-7359
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: BARBARA DUBOIS
Title or Position: FOUNDER
Credential:
Phone: 954-450-7359