Healthcare Provider Details

I. General information

NPI: 1700797636
Provider Name (Legal Business Name): GANSETTGAL LLC DBA MOTHERS HAVEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 MAIN ST
EAST GREENWICH RI
02818-3116
US

IV. Provider business mailing address

11 JUNIPER TRL
NARRAGANSETT RI
02882-2502
US

V. Phone/Fax

Practice location:
  • Phone: 401-487-8619
  • Fax:
Mailing address:
  • Phone: 401-487-8619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. ASHLEY MARIE SOUSA
Title or Position: OWNER AND FOUNDER
Credential: RN IBCLC DOULA
Phone: 401-487-8619