MEDICARE: MIA DOULA AGENCY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1144168378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIA DOULA AGENCY

Provider Business Mailing Address
First Line	:	2406 PEETE ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115-5746
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2406 PEETE ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115-5746
Country	:	US
Telephone Number	:	504-373-9425
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	IMARI HEKA OSBY
Credential	:
Telephone Number	:	504-373-9425

Provider Enumeration Date	:	03/21/2026
Last Update Date	:	03/23/2026

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Directions to “MIA DOULA AGENCY ” Practice Location

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