Healthcare Provider Details

I. General information

NPI: 1609787571
Provider Name (Legal Business Name): SEEN AND SUPPORTED DOULA CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 N LILY ST
WORTHING SD
57077-2052
US

IV. Provider business mailing address

106 N LILY ST
WORTHING SD
57077-2052
US

V. Phone/Fax

Practice location:
  • Phone: 605-659-6865
  • Fax:
Mailing address:
  • Phone: 605-659-6865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: YISETH ROSANA GERDES
Title or Position: DOULA
Credential:
Phone: 605-254-4622