Healthcare Provider Details

I. General information

NPI: 1134043086
Provider Name (Legal Business Name): ROOTED IN GRACE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

5557 GRAYTON ST
DETROIT MI
48224-2151
US

IV. Provider business mailing address

5557 GRAYTON ST
DETROIT MI
48224-2151
US

V. Phone/Fax

Practice location:
  • Phone: 586-345-2283
  • Fax:
Mailing address:
  • Phone: 586-345-2283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ALEXIS HARVEY
Title or Position: DOULA
Credential:
Phone: 586-345-2283