MEDICARE: WOMB & MOON DOULA CARE

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	:	1942134127
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMB & MOON DOULA CARE

Provider Business Mailing Address
First Line	:	2147 CUNNINGHAM DR APT 104
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23666-2520
Country	:	US
Telephone Number	:	484-724-1272
Fax Number	:	484-724-1272

Provider Business Practice Location Address
First Line	:	2147 CUNNINGHAM DR APT 104
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23666-2520
Country	:	US
Telephone Number	:	484-724-1272
Fax Number	:	484-724-1272

Authorized Official
Title or Position	:	FULL SPECTRUM DOULA
Name	:	SYMONE WOOD
Credential	:
Telephone Number	:	484-724-1272

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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Directions to “WOMB & MOON DOULA CARE ” Practice Location

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