Healthcare Provider Details

I. General information

NPI: 1073463949
Provider Name (Legal Business Name): JOANNA DEMARCO DHSC, CHES, NBHWC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2026
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 EUCLID AVE JH164
CLEVELAND OH
44115-2226
US

IV. Provider business mailing address

2121 EUCLID AVE
CLEVELAND OH
44115-2226
US

V. Phone/Fax

Practice location:
  • Phone: 216-687-3553
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberT50811
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number13662
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberA-4123243
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: