Healthcare Provider Details

I. General information

NPI: 1992623755
Provider Name (Legal Business Name): DEEPLY ROOTED DOULA SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8843 PROCTORS RUN DR
NORTH CHESTERFIELD VA
23237-2774
US

IV. Provider business mailing address

8843 PROCTORS RUN DR
NORTH CHESTERFIELD VA
23237-2774
US

V. Phone/Fax

Practice location:
  • Phone: 804-878-5558
  • Fax: 804-878-5558
Mailing address:
  • Phone: 804-878-5558
  • Fax: 804-878-5558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MALIQUA WHITE
Title or Position: DOULA
Credential:
Phone: 804-878-5558