# MY GENTLE START PA LLC

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

## Provider details

- **NPI number:** 1487561361
- **Authorized official:** MR. RIVKA LAX DOULA (FOUNDER)
- **Authorized official phone:** (516) 316-5015

## Contact information

- **Practice address:** 104 S 20TH ST \# 74, PHILADELPHIA, PA 19103-4410
- **Practice address phone:** (516) 316-5015
- **Mailing address:** 104 S 20TH ST \# 74, PHILADELPHIA, PA 19103-4410
- **Mailing address phone:** (516) 316-5015

## Taxonomy

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

## Other

- **Enumeration date:** 08/26/2026
- **Last updated:** 08/26/2026