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Organization
JAMAA BIRTH VILLAGE
Active
Organization
JAMAA BIRTH VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRITTANY L CAMPBELL-KELLMAN CD,CPM,CLC (EXECUTIVE & CLINICAL DIRECTOR)
(314) 643-7703
Entity
Organization
Contact information
Practice address
8 CHURCH ST, FERGUSON, MO 63135-2409
(314) 643-7703
(314) 736-5550
Mailing address
8 CHURCH ST, FERGUSON, MO 63135-2409
(314) 643-7703
(314) 736-5550
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
—
NULL
172V00000X
Community Health Worker
—
—
174N00000X
Lactation Consultant (Non-RN)
—
NULL
174N00000X
Lactation Consultant (Non-RN)
—
—
176B00000X
Midwife
—
NULL
176B00000X
Midwife
—
—
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
261QB0400X
Birthing Clinic/Center
Primary
—
NULL
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
NULL
Other
Enumeration date
05/16/2019
Last updated
09/07/2019
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