# AUTHENTIC BIRTH CENTER WELLNESS COLLECTIVE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Authentic Birth Center Wellness Collective LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174323836
- **Authorized official:** TONY SKARLATOS (COO)
- **Authorized official phone:** (414) 231-9640

## Contact information

- **Practice address:** 530 N 108TH PL STE 100, WAUWATOSA, WI 53226-4253
- **Practice address phone:** (414) 231-9640
- **Practice address fax:** (414) 226-5078
- **Mailing address:** 2864 S WAUKESHA RD, WEST ALLIS, WI 53227-2834
- **Mailing address phone:** (414) 231-9640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QB0400X | Birthing Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/13/2025
- **Last updated:** 12/22/2025