MEDICARE: ESSENCE OF PEACE DOULA 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	:	1356295067
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESSENCE OF PEACE DOULA LLC

Provider Business Mailing Address
First Line	:	13605 AVEBURY DR APT 34
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20708-3442
Country	:	US
Telephone Number	:	240-351-8611
Fax Number	:

Provider Business Practice Location Address
First Line	:	13605 AVEBURY DR APT 34
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20708-3442
Country	:	US
Telephone Number	:	240-351-8611
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CALLIE HODGE
Credential	:	HODGE
Telephone Number	:	240-251-8611

Provider Enumeration Date	:	02/21/2026
Last Update Date	:	02/21/2026

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Directions to “ESSENCE OF PEACE DOULA LLC ” Practice Location

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