Healthcare Provider Details

I. General information

NPI: 1831014869
Provider Name (Legal Business Name): ROMAN THE DOULA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4885 E 107TH ST
GARFIELD HTS OH
44125-2205
US

IV. Provider business mailing address

4885 E 107TH ST
GARFIELD HTS OH
44125-2205
US

V. Phone/Fax

Practice location:
  • Phone: 216-632-6400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ROMANIQUE RICE
Title or Position: FULL SPECTUM BIRTHWORKER
Credential: CERTIFIED DOULA
Phone: 216-632-6400