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Organization
SACRED SPACE MIDWIFERY LLC
Active
Organization
SACRED SPACE MIDWIFERY LLC
Active
Other names
Sacred Space Wellness LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN FOREMAN CNM, PMHNP, RN (CNM, OWNER)
(443) 553-3082
Entity
Organization
Contact information
Practice address
13359 N HIGHWAY 183 STE 406-620, AUSTIN, TX 78750-7153
(443) 553-3082
Mailing address
9501 N FM 620 RD APT 9203, AUSTIN, TX 78726-2914
(443) 553-3082
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
NULL
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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