Provider Demographics
NPI:1164223608
Name:FROM THE WOMB DOULA QUEEN
Entity type:Organization
Organization Name:FROM THE WOMB DOULA QUEEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LETIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-277-6417
Mailing Address - Street 1:1545 PIPER SQUARE DR APT H
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:VA
Mailing Address - Zip Code:23860-6645
Mailing Address - Country:US
Mailing Address - Phone:804-277-6417
Mailing Address - Fax:
Practice Address - Street 1:1545 PIPER SQUARE DR APT H
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860-6645
Practice Address - Country:US
Practice Address - Phone:804-277-6417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty