MEDICARE: THE WOVEN WOMAN LLC

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	:	1942169354
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE WOVEN WOMAN LLC

Provider Business Mailing Address
First Line	:	3091 EASTMAN LN
Second Line	:
City	:	PETALUMA
State	:	CA
Zip	:	94952-1679
Country	:	US
Telephone Number	:	209-855-1340
Fax Number	:

Provider Business Practice Location Address
First Line	:	3091 EASTMAN LN
Second Line	:
City	:	PETALUMA
State	:	CA
Zip	:	94952-1679
Country	:	US
Telephone Number	:	209-855-1340
Fax Number	:

Authorized Official
Title or Position	:	FULL SPECTRUM DOULA
Name	:	SAMANTHA M REICH
Credential	:
Telephone Number	:	209-855-1340

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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Directions to “THE WOVEN WOMAN LLC ” Practice Location

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