NPIMap

Organization Active NPI

Sacred Black Butterfly Doula Services, LLC.

  • Doula
  • Moultrie, GA
National Provider Identifier
1689543597
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
SACRED BLACK BUTTERFLY DOULA SERVICES, LLC.
Practice address
51 Kingwood Gardens Dr
Moultrie, GA 31788-5179
Phone
(229) 319-3268
NPI assigned
Oct 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Authorized official

Name
Ms. Lathaca Wheeler, DOULA CERTIFICATENPI 1457053027
Title
Manager
Phone
(229) 319-3268

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DoulaGroup: 193400000X SINGLE SPECIALTY GROUP 374J00000X Primary

Addresses

Primary practice location

51 Kingwood Gardens Dr
Moultrie, GA 31788-5179

Mailing address

51 Kingwood Gardens Dr
Moultrie, GA 31788-5179
Phone (229) 319-3268

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL sacredblackbutterflydoula@yahoo.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1689543597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 KINGWOOD GARDENS DR",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317885179",
            "telephone_number": "229-319-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 KINGWOOD GARDENS DR",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317885179",
            "telephone_number": "229-319-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED BLACK BUTTERFLY DOULA SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "LATHACA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "229-319-3268",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DOULA CERTIFICATE"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sacredblackbutterflydoula@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "direct contact",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "51 Kingwood Gardens Dr",
            "city": "Moultrie",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317885179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moultrie, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.