Provider Demographics
NPI:1003794827
Name:SOCIAL WORK DOULA LLC
Entity type:Organization
Organization Name:SOCIAL WORK DOULA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:STANG
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:860-966-3171
Mailing Address - Street 1:25 HOLLYWOOD RD
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02909-1218
Mailing Address - Country:US
Mailing Address - Phone:860-966-3171
Mailing Address - Fax:
Practice Address - Street 1:253 KINGS HWY
Practice Address - Street 2:
Practice Address - City:WESTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027-9514
Practice Address - Country:US
Practice Address - Phone:860-966-3171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health