Healthcare Provider Details

I. General information

NPI: 1770424087
Provider Name (Legal Business Name): AMBER LANAE TAYLOR DOULA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 W SCHUYLKILL RD STE G-15A
POTTSTOWN PA
19465-7438
US

IV. Provider business mailing address

2031 66TH AVE UNIT 20712
PHILADELPHIA PA
19138-3174
US

V. Phone/Fax

Practice location:
  • Phone: 267-970-2680
  • Fax:
Mailing address:
  • Phone: 267-970-2680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number23198
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: