Demetria Archie
Individual provider Active NPI Doula · Eastpointe, MI
NPI 1063309151 · NPPES record last updated Jun 20, 2025
Key facts
- NPI
- 1063309151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- Practice address
- 15378 Veronica Ave
Eastpointe, MI 48021-3636 - Phone
- (313) 449-1165
- NPI assigned
- Jun 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Divine 4 Support LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Yes |
Addresses
Primary practice location
15378 Veronica Ave
Eastpointe, MI 48021-3636
Mailing address
15378 Veronica Ave
Eastpointe, MI 48021-3636
Phone (313) 477-9642
Other providers in Eastpointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.