MEDICARE: DKM LOVE 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	172V00000X	Community Health Worker
2	374J00000X	Doula

General Provider Information

NPI Number	:	1740148618
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DKM LOVE DOULA SERVICES LLC

Provider Business Mailing Address
First Line	:	2919 IDA AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45405-2734
Country	:	US
Telephone Number	:	513-402-2696
Fax Number	:

Provider Business Practice Location Address
First Line	:	2919 IDA AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45405-2734
Country	:	US
Telephone Number	:	513-402-2696
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	MRS. NICOLE MICHELLE MCWHORTER
Credential	:	BSHA, C.CHW, CLS, CD
Telephone Number	:	513-402-2696

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	02/24/2026

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Directions to “DKM LOVE DOULA SERVICES LLC ” Practice Location

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