Active NPI
Divine Doula Goddess L.L.C
- Doula
- Detroit, MI
National Provider Identifier
1922971316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Legal business name
- DIVINE DOULA GODDESS L.L.C
- Practice address
- 13440 W McNichols Rd
Detroit, MI 48235-4123 - Phone
- (605) 261-5503
- NPI assigned
- Sep 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cawanna M Nelson
- Title
- Doula
- Phone
- (605) 261-5503
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
13440 W McNichols Rd
Detroit, MI 48235-4123
Mailing address
10703 Santa Maria St Apt 33
Detroit, MI 48221-2339
Phone (605) 261-5503
National Provider Directory
National Provider DirectoryLocations
13440 W McNichols Rd
Detroit, MI 48235
Phone (605) 261-5503
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758672000000",
"number": "1922971316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10703 SANTA MARIA ST APT 33",
"city": "DETROIT",
"state": "MI",
"postal_code": "482212339",
"telephone_number": "605-261-5503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13440 W MCNICHOLS RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482354123",
"telephone_number": "605-261-5503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE DOULA GODDESS L.L.C",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-24",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "CAWANNA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DOULA",
"authorized_official_telephone_number": "605-261-5503"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.