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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

Other

Enumeration date
06/27/2023
Last updated
06/27/2023
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