Mother Well Doula Service, LLC

Primary specialty

DoulaTaxonomy code 374J00000X

Legal business name

MOTHER WELL DOULA SERVICE, LLC

Practice address

406 Chestnut St
Berea, KY 40403-1998

Phone

(859) 582-7955

NPI assigned

Feb 18, 2021

Organization subpart

No

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

Authorized official

Name

Victoria Wilson, CD(DONA)NPI 1083207732

Title

Owner, Doula

Phone

(859) 582-7955

Specialties & licenses 1

Addresses

Other names 2

• Mother Well Doula Service Doing business as
• The Mother Well Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victoria Wilson, CD(DONA)

  • Doula
  • Berea, KY
  • NPI 1083207732

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1669065876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CASSIUS CT",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404032012",
            "telephone_number": "859-582-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 CHESTNUT ST",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031998",
            "telephone_number": "859-582-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHER WELL DOULA SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER, DOULA",
        "authorized_official_telephone_number": "859-582-7955",
        "authorized_official_credential": "CD(DONA)"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mother Well Doula Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Mother Well",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Claire Moberly, DMD
• Joseph Moceus, L.AC
• Joan M Moore, ARNP
• Kristin Morgan, APRN
• Michael Morris
• Angela Mullins
• Dorothy Murphy, LCSW
• Curtis Allen Myers, O.D.
• Jeanne Nakazawa, MA, LPCC, NCC
• New Vista of the Bluegrass Inc

• All providers in Berea, KY
• Doula in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.