# A MOTHER'S HAVEN

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

## Provider details

- **NPI number:** 1487952883
- **Authorized official:** MICHELLE P PAYNE RN (RN, BSN, POSTPARTUM DOULA)
- **Authorized official phone:** (252) 673-1889

## Contact information

- **Practice address:** 2204 TULLS COVE RD, WINTERVILLE, NC 28590-7135
- **Practice address phone:** (252) 673-1889
- **Mailing address:** 2204 TULLS COVE RD, WINTERVILLE, NC 28590-7135

## Taxonomy

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

## Other

- **Enumeration date:** 03/09/2011
- **Last updated:** 03/09/2011
