Healthcare Provider Details

I. General information

NPI: 1932904273
Provider Name (Legal Business Name): MEGHAN TOMLINSON DOULA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/18/2025
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 LESTER AVE
ONALASKA WI
54650-8694
US

IV. Provider business mailing address

W7451 SYLVESTER RD
HOLMEN WI
54636-9232
US

V. Phone/Fax

Practice location:
  • Phone: 608-783-1452
  • Fax:
Mailing address:
  • Phone: 608-860-1280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8980-226
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: