# MOTHER WELL DOULA SERVICE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Mother Well, Mother Well Doula Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669065876
- **Authorized official:** VICTORIA WILSON CD(DONA) (OWNER, DOULA)
- **Authorized official phone:** (859) 582-7955

## Contact information

- **Practice address:** 406 CHESTNUT ST, BEREA, KY 40403-1998
- **Practice address phone:** (859) 582-7955
- **Mailing address:** 121 CASSIUS CT, BEREA, KY 40403-2012
- **Mailing address phone:** (859) 582-7955

## Taxonomy

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

## Other

- **Enumeration date:** 02/18/2021
- **Last updated:** 02/18/2021