Organization
SACRED SPACE COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN FOREMAN CNM, PMHNP (MIDWIFE, CO-OWNER)
(443) 553-3082
Entity
Organization
Contact information
Practice address
13359 N HIGHWAY 183 STE 406-620, AUSTIN, TX 78750-7153
(443) 553-3082
(512) 503-3969
Mailing address
13359 N HIGHWAY 183 STE 406-620, AUSTIN, TX 78750-7153
(443) 553-3082
(512) 503-3969
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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