NPI Code Details Logo

NPI 1508657628

NPI 1508657628 : AMAZING DOULA CARE : SOUTHFIELD, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1508657628
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    AMAZING DOULA CARE 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/16/2025
-----------------------------------------------------
    Last Update Date     |    05/16/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    26700 LAHSER RD STE 330 
-----------------------------------------------------
    City                 |    SOUTHFIELD
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48033-2617
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    855-936-7284
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    26700 LAHSER RD STE 330 
-----------------------------------------------------
    City                 |    SOUTHFIELD
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48033-2617
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    855-936-7284
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     LISA R MILLER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    855-936-7284
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    261QB0400X
-----------------------------------------------------
    Taxonomy Name        |    Birthing Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.