Healthcare Provider Details
I. General information
NPI: 1851134019
Provider Name (Legal Business Name): DOULA CO MKE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/17/2024
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2901 S WENTWORTH AVE
MILWAUKEE WI
53207-2511
US
IV. Provider business mailing address
2901 S WENTWORTH AVE
MILWAUKEE WI
53207-2511
US
V. Phone/Fax
- Phone: 414-416-7519
- Fax:
- Phone: 414-416-7519
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174N00000X |
| Taxonomy | Lactation Consultant (Non-RN) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 374J00000X |
| Taxonomy | Doula |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
JOAN
LEIGH
CHMIEL
Title or Position: OWNER
Credential: P&ICD
Phone: 414-416-7519