Healthcare Provider Details

I. General information

NPI: 1215817549
Provider Name (Legal Business Name): MELONIECE DUKES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2309 W UNION HILLS DRIVE
PHOENIX AZ
85027
US

IV. Provider business mailing address

2309 W UNION HILLS DRIVE 39-117
PHOENIX AZ
85027
US

V. Phone/Fax

Practice location:
  • Phone: 480-514-6200
  • Fax:
Mailing address:
  • Phone: 480-514-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: MELONIECE M DUKES
Title or Position: CERTIFIED PEER SPECIALIST AND DOULA
Credential:
Phone: 480-514-6200