# THE BIRTH TRIBE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Birth Tribe
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558944546
- **Authorized official:** SERENA BURR LM (MIDWIFE/OWNER)
- **Authorized official phone:** (914) 299-7171

## Contact information

- **Practice address:** 800 S NOVA RD STE R, ORMOND BEACH, FL 32174-7362
- **Practice address phone:** (386) 227-7663
- **Practice address fax:** (386) 204-7117
- **Mailing address:** 17 PINE GROVE DR SIDE A, PALM COAST, FL 32164-7098
- **Mailing address phone:** (914) 299-7171
- **Mailing address fax:** (386) 204-7117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | — | NULL | Yes |
| 176B00000X | Midwife | — | — | Yes |

## Other

- **Enumeration date:** 04/28/2021
- **Last updated:** 04/28/2021
