Healthcare Provider Details

I. General information

NPI: 1649189606
Provider Name (Legal Business Name): YOUR DEVOTED DOULA LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

263 KELL AVE
STATEN ISLAND NY
10314
US

IV. Provider business mailing address

3261 RICHMOND AVE STE 118
STATEN ISLAND NY
10312-2123
US

V. Phone/Fax

Practice location:
  • Phone: 917-292-3323
  • Fax:
Mailing address:
  • Phone: 917-292-3323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DINA KLEIN
Title or Position: CERTIFIED DOULA
Credential: CD
Phone: 917-292-3323