Executive Doula Agency, LLC

Primary specialty

DoulaTaxonomy code 374J00000X

Legal business name

EXECUTIVE DOULA AGENCY, LLC

Practice address

100 Marie PL
Charlottesville, VA 22901-2931

Phone

(703) 981-6688

NPI assigned

Jun 9, 2022

Last updated

Jun 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennell Lynch

Title

Ceo

Phone

(703) 981-6688

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1902535321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 SEMINOLE TRL # 276",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MARIE PL",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012931",
            "telephone_number": "703-981-6688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Marie Place",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "22901",
            "country_code": "US",
            "telephone_number": "703-981-6688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXECUTIVE DOULA AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "JENNELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-981-6688"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen Health LLC
• Margaux Ciera Everingham
• Evidence-Based Psychotherapy, PLLC
• Kathleen F Eviza-Ford, MSN, RN-BC, RN
• Evolving Connections, LLC
• Charlene G. Exline, FNP
• Expressride LLC
• Eye One, PLC
• Eyebrow Renovation & Permanent Makeup
• Joseph C Ezeigwe, PHARMD

• Doula in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Doula in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.