Provider Demographics
NPI:1922998194
Name:SOMA DOULA SERVICES LLC
Entity type:Organization
Organization Name:SOMA DOULA SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:MCCULLEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:517-525-1403
Mailing Address - Street 1:523 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-3504
Mailing Address - Country:US
Mailing Address - Phone:517-525-1403
Mailing Address - Fax:
Practice Address - Street 1:523 CEDAR ST
Practice Address - Street 2:
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-3504
Practice Address - Country:US
Practice Address - Phone:517-525-1403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty