Healthcare Provider Details

I. General information

NPI: 1962635433
Provider Name (Legal Business Name): TOMEKA R. COLLINS DOULA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2009
Last Update Date: 01/03/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4960 LABELLE DR.
COLUMBUS OH
43232
US

IV. Provider business mailing address

4960 LABELLE DR.
COLUMBUS OH
43232
US

V. Phone/Fax

Practice location:
  • Phone: 614-327-3527
  • Fax:
Mailing address:
  • Phone: 614-327-3527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLPN.127214
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License NumberDOU.000096
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: