Healthcare Provider Details

I. General information

NPI: 1316794464
Provider Name (Legal Business Name): SHAMEEKA MORRIS NA, DOULA, CHAPLAIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2024
Last Update Date: 08/27/2024
Certification Date: 08/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 COURT ST
STATEN ISLAND NY
10304-2008
US

IV. Provider business mailing address

32 COURT ST
STATEN ISLAND NY
10304-2008
US

V. Phone/Fax

Practice location:
  • Phone: 347-372-0205
  • Fax:
Mailing address:
  • Phone: 347-372-0205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number1007900
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number20079864
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number110684
License Number StateME
# 6
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number112666
License Number StateWV
# 7
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberNY000452275E
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: