Lilac Moon PA LLC

Primary specialty

DoulaTaxonomy code 374J00000X

Legal business name

LILAC MOON PA LLC

Practice address

3449 Scotts LN Unit A207
Philadelphia, PA 19129-1888

Phone

(215) 704-8532

NPI assigned

Jul 27, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jaime Obrien Outterbridge, CPPD

Title

Doula

Phone

(215) 704-8532

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1437071198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 SCOTTS LN UNIT A207",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 SCOTTS LN UNIT A207",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291888",
            "telephone_number": "215-704-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILAC MOON PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "OUTTERBRIDGE",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "OBRIEN",
        "authorized_official_title_or_position": "DOULA",
        "authorized_official_telephone_number": "215-704-8532",
        "authorized_official_credential": "CPPD"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Doula in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Doula in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.