# VILLAGE SIS DOULA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023711884
- **Authorized official:** CASSEY MAPP-AHMED (CEO)
- **Authorized official phone:** (336) 580-7405

## Contact information

- **Practice address:** 4921 TOWER RD APT B, GREENSBORO, NC 27410-5715
- **Practice address phone:** (336) 580-7405
- **Mailing address:** 4921 TOWER RD APT B, GREENSBORO, NC 27410-5715
- **Mailing address phone:** (336) 580-7405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 374J00000X | Doula | — | NULL | Yes |
| 374J00000X | Doula | — | — | Yes |

## Other

- **Enumeration date:** 03/22/2023
- **Last updated:** 03/22/2023