Healthcare Provider Details

I. General information

NPI: 1699630806
Provider Name (Legal Business Name): EMPOWERED DOULA CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29400 HARVARD RD # 328
BEACHWOOD OH
44122-4781
US

IV. Provider business mailing address

30799 PINETREE RD # 328
PEPPER PIKE OH
44124-5903
US

V. Phone/Fax

Practice location:
  • Phone: 216-407-4930
  • Fax:
Mailing address:
  • Phone: 216-407-4930
  • Fax: 216-407-4930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. DEVIDA MONIQUE WILLIS
Title or Position: DOULA
Credential:
Phone: 216-407-4930