Organization
MOMMAS DOULA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATIKQUA AUSTIN (CEO)
(857) 381-4200
Entity
Organization
Contact information
Practice address
140 HUMBOLDT AVE, DORCHESTER, MA 02121-1236
(857) 309-0711
Mailing address
140 HUMBOLDT AVE # 3, DORCHESTER, MA 02121-1236
(857) 381-4200
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
347D00000X
Train
—
—
Other
Enumeration date
04/08/2025
Last updated
12/29/2025
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