=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598559973
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LASHA'E S TAYLOR CD(DONA),CLC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/08/2025
-----------------------------------------------------
Last Update Date | 04/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3909 WATERWORTH WAY
-----------------------------------------------------
City | PEARLAND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77584-5315
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 769-831-3979
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3909 WATERWORTH WAY
-----------------------------------------------------
City | PEARLAND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77584-5315
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 760-831-3979
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 374J00000X
-----------------------------------------------------
Taxonomy Name | Doula
-----------------------------------------------------
License Number | 12758
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------