Provider Demographics
NPI:1730995085
Name:LABOR OF LOVE BIRTH & DOULA SERVICES LLC
Entity type:Organization
Organization Name:LABOR OF LOVE BIRTH & DOULA SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:HARVEY
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:CD MA
Authorized Official - Phone:919-631-8095
Mailing Address - Street 1:212 NELSON LN
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27527-3980
Mailing Address - Country:US
Mailing Address - Phone:919-631-8095
Mailing Address - Fax:919-249-2157
Practice Address - Street 1:212 NELSON LN
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27527-3980
Practice Address - Country:US
Practice Address - Phone:919-631-8095
Practice Address - Fax:919-249-2157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing