Provider Demographics
NPI:1194606749
Name:SACRED JOURNEY BIRTHING SERVICES LLC
Entity type:Organization
Organization Name:SACRED JOURNEY BIRTHING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ATARA
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:CPM
Authorized Official - Phone:443-845-1843
Mailing Address - Street 1:1674 KIRKWOOD PIKE
Mailing Address - Street 2:
Mailing Address - City:KIRKWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:17536-9601
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1674 KIRKWOOD PIKE
Practice Address - Street 2:
Practice Address - City:KIRKWOOD
Practice Address - State:PA
Practice Address - Zip Code:17536-9601
Practice Address - Country:US
Practice Address - Phone:443-845-1843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty