Provider Demographics
NPI:1407612005
Name:WORLEY-MILLER, DESTINY (DOULA)
Entity Type:Individual
Prefix:
First Name:DESTINY
Middle Name:
Last Name:WORLEY-MILLER
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15318 PLYMOUTH PL # 2
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-2821
Mailing Address - Country:US
Mailing Address - Phone:216-762-4562
Mailing Address - Fax:
Practice Address - Street 1:15318 PLYMOUTH PL # 2
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-2821
Practice Address - Country:US
Practice Address - Phone:216-762-4562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula