MEDICARE: DELIGHTED TO DOULA BIRTH SERVICES

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	:	1306628920
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELIGHTED TO DOULA BIRTH SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 1533
Second Line	:
City	:	PROSPER
State	:	TX
Zip	:	75078-3207
Country	:	US
Telephone Number	:	248-445-0126
Fax Number	:

Provider Business Practice Location Address
First Line	:	5600 ROSS AVE STE 100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-7926
Country	:	US
Telephone Number	:	469-269-6671
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER/CEO
Name	:	PRINSCILLA MOORE
Credential	:	CPD
Telephone Number	:	248-445-0126

Provider Enumeration Date	:	10/18/2023
Last Update Date	:	10/31/2023

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Directions to “DELIGHTED TO DOULA BIRTH SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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