=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679377840
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CHANEL'S COMFORTING DOULA CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/04/2025
-----------------------------------------------------
Last Update Date | 04/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4 TUDOR CT
-----------------------------------------------------
City | EAST SETAUKET
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11733-1121
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-566-0233
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4 TUDOR CT
-----------------------------------------------------
City | EAST SETAUKET
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11733-1121
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-209-7585
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MS. CHANEL JONES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 631-209-7585
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 374J00000X
-----------------------------------------------------
Taxonomy Name | Doula
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------