# NOVA BIRTH SERVICES LLC

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

## Provider details

- **NPI number:** 1548171572
- **Authorized official:** MRS. SHANNON MATHEWS CD(DONA) (OWNER)
- **Authorized official phone:** (540) 841-9293

## Contact information

- **Practice address:** 43893 CHURCHILL GLEN DR, CHANTILLY, VA 20152-5771
- **Practice address phone:** (540) 841-9293
- **Practice address fax:** (000) 000-0000
- **Mailing address:** 43893 CHURCHILL GLEN DR, CHANTILLY, VA 20152-5771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174N00000X | Lactation Consultant (Non-RN) | — | NULL | — |
| 174N00000X | Lactation Consultant (Non-RN) | — | — | — |
| 374J00000X | Doula | — | NULL | Yes |
| 374J00000X | Doula | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2026
- **Last updated:** 09/16/2026