# JAMAA BIRTH VILLAGE

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

## Provider details

- **NPI number:** 1659937597
- **Authorized official:** MRS. BRITTANY L CAMPBELL-KELLMAN CD,CPM,CLC (EXECUTIVE & CLINICAL DIRECTOR)
- **Authorized official phone:** (314) 643-7703

## Contact information

- **Practice address:** 8 CHURCH ST, FERGUSON, MO 63135-2409
- **Practice address phone:** (314) 643-7703
- **Practice address fax:** (314) 736-5550
- **Mailing address:** 8 CHURCH ST, FERGUSON, MO 63135-2409
- **Mailing address phone:** (314) 643-7703
- **Mailing address fax:** (314) 736-5550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 261QF0050X | Non-Surgical Family Planning Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/16/2019
- **Last updated:** 09/07/2019