Active NPI
Wild Zen LLC
- Doula
- Coral, MI
National Provider Identifier
1780479246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Legal business name
- WILD ZEN LLC
- Practice address
- 2379 N Bailey Rd
Coral, MI 49322-9754 - Phone
- (616) 648-0444
- NPI assigned
- Apr 14, 2025
- Last updated
- Apr 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carrie L Labarge, DOULA, CBS, LCE, RYT
- Title
- Doula
- Phone
- (616) 648-0444
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
2379 N Bailey Rd
Coral, MI 49322-9754
Mailing address
2379 N Bailey Rd
Coral, MI 49322-9754
Phone (616) 648-0444
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Lactation Consultant (Non-RN)
- Coral, MI
- NPI 1427288000
Doula
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744588800000",
"number": "1780479246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2379 N BAILEY RD",
"city": "CORAL",
"state": "MI",
"postal_code": "493229754",
"telephone_number": "616-648-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2379 N BAILEY RD",
"city": "CORAL",
"state": "MI",
"postal_code": "493229754",
"telephone_number": "616-648-0444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILD ZEN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-14",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A",
"authorized_official_last_name": "LABARGE",
"authorized_official_first_name": "CARRIE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DOULA",
"authorized_official_telephone_number": "616-648-0444",
"authorized_official_credential": "DOULA, CBS, LCE, RYT"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.