Provider Demographics
NPI:1184003683
Name:BIRTHING WITHIN THE SPIRIT
Entity Type:Organization
Organization Name:BIRTHING WITHIN THE SPIRIT
Other - Org Name:BIRTHING WITHIN THE SPIRIT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDING DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TIKVAH
Authorized Official - Middle Name:TAMAH YAFAH
Authorized Official - Last Name:WADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-577-4465
Mailing Address - Street 1:4157 S INDIANA AVE
Mailing Address - Street 2:APT 2S
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60653-2172
Mailing Address - Country:US
Mailing Address - Phone:773-577-4465
Mailing Address - Fax:
Practice Address - Street 1:4157 S INDIANA AVE
Practice Address - Street 2:APT 2S
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60653-2172
Practice Address - Country:US
Practice Address - Phone:773-577-4465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-29
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
No251E00000XAgenciesHome Health
No251K00000XAgenciesPublic Health or Welfare
No252Y00000XAgenciesEarly Intervention Provider Agency
No253J00000XAgenciesFoster Care Agency
No253Z00000XAgenciesIn Home Supportive Care
No261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health