Healthcare Provider Details

I. General information

NPI: 1285597252
Provider Name (Legal Business Name): DREA'S HEART DOULA SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2025
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 CHURCH ST STE 105
MONTCLAIR NJ
07042-2761
US

IV. Provider business mailing address

40 SPRINGDALE AVE
EAST ORANGE NJ
07017-5350
US

V. Phone/Fax

Practice location:
  • Phone: 973-632-1278
  • Fax:
Mailing address:
  • Phone: 973-632-1278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MISS ANDREA Y FAISON
Title or Position: CERTIFIED DOULA
Credential: CD
Phone: 973-432-9152