# DIVINE DOULA SERVICE LLC

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

## Provider details

- **NPI number:** 1487588422
- **Authorized official:** MRS. DENISHA CLEMONS (DOULA/BIRTHWORKER)
- **Authorized official phone:** (602) 775-8405

## Contact information

- **Practice address:** 12534 N 142ND LN, SURPRISE, AZ 85379-5586
- **Practice address phone:** (602) 775-8405
- **Practice address fax:** (602) 775-8405
- **Mailing address:** 7776 S POINTE PKWY E, SUITE 101, PHOENIX, AZ 85044

## Taxonomy

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

## Other

- **Enumeration date:** 06/12/2026
- **Last updated:** 06/12/2026