Provider Demographics
NPI:1760880348
Name:BIRTHING YOUR WAY, LLC
Entity Type:Organization
Organization Name:BIRTHING YOUR WAY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SHELLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-615-1733
Mailing Address - Street 1:394 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-2052
Mailing Address - Country:US
Mailing Address - Phone:801-796-2229
Mailing Address - Fax:800-714-4718
Practice Address - Street 1:394 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-2052
Practice Address - Country:US
Practice Address - Phone:801-796-2229
Practice Address - Fax:800-714-4718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-12
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing