# SACRED ROOTS MIDWIFERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215390778
- **Authorized official:** ANGELA LYTTLE CNM (CO-OWNER/MIDWIFERY DIRECTOR)
- **Authorized official phone:** (317) 437-3681

## Contact information

- **Practice address:** 6620 PARKDALE PL, SUITE K, INDIANAPOLIS, IN 46254-5620
- **Practice address phone:** (317) 437-3681
- **Practice address fax:** (317) 552-2671
- **Mailing address:** 6620 PARKDALE PL, SUITE K, INDIANAPOLIS, IN 46254-5620
- **Mailing address phone:** (317) 437-3681
- **Mailing address fax:** (317) 552-2671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | 09000221A | IN | Yes |

## Other

- **Enumeration date:** 04/01/2016
- **Last updated:** 05/11/2017