Healthcare Provider Details

I. General information

NPI: 1861349920
Provider Name (Legal Business Name): ESSENTIAL DAILY WELLNESS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 SEVERANCE CIR STE 106
CLEVELAND HEIGHTS OH
44118-1513
US

IV. Provider business mailing address

5 SEVERANCE CIR
CLEVELAND HTS OH
44118-1566
US

V. Phone/Fax

Practice location:
  • Phone: 440-252-2882
  • Fax: 440-261-4000
Mailing address:
  • Phone: 440-252-2882
  • Fax: 440-261-4000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ALICIA JEVON DAVIS
Title or Position: BUSINESS MANAGER
Credential:
Phone: 440-423-5737