Healthcare Provider Details

I. General information

NPI: 1316856107
Provider Name (Legal Business Name): SACRED HEALTH EMPOWERMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27757 DOVER DR
MORENO VALLEY CA
92555-5757
US

IV. Provider business mailing address

27757 DOVER DR
MORENO VALLEY CA
92555-5757
US

V. Phone/Fax

Practice location:
  • Phone: 909-910-5876
  • Fax:
Mailing address:
  • Phone: 909-910-5876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. TAMIKA SIMPSON
Title or Position: CEO/FOUNDER
Credential: PSYD, IBCLC, CHES
Phone: 909-910-5876