MEDICARE: TREASURED MOMENTS DOULA SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1275479917
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TREASURED MOMENTS DOULA SERVICES LLC

Provider Business Mailing Address
First Line	:	20330 MILLER AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44119-2309
Country	:	US
Telephone Number	:	216-776-9924
Fax Number	:

Provider Business Practice Location Address
First Line	:	20330 MILLER AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44119-2309
Country	:	US
Telephone Number	:	216-776-9924
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TREASURE SCOTT
Credential	:
Telephone Number	:	216-776-9924

Provider Enumeration Date	:	04/27/2026
Last Update Date	:	04/27/2026

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