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Organization

SOVEREIGHDARITY LABORATION INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LATRICE MATTHEWS (DOULA)
(818) 903-4015
Entity
Organization

Contact information

Practice address
18145 AMERICAN BEAUTY DR UNIT 102, SANTA CLARITA, CA 91387-3080
(818) 903-4015
Mailing address
18017 CHATSWORTH ST # 255, GRANADA HILLS, CA 91344-5608
(818) 903-4015

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
171400000X
Health & Wellness Coach
174H00000X
Health Educator
174N00000X
Lactation Consultant (Non-RN)
175M00000X
Lay Midwife
374J00000X
Doula
Primary

Other

Enumeration date
04/13/2026
Last updated
04/24/2026
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