Provider Demographics
NPI:1427939115
Name:KIHCI WOMBWORK COLLECTIVE, LLC.
Entity type:Organization
Organization Name:KIHCI WOMBWORK COLLECTIVE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR AND DOULA
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAEVE
Authorized Official - Middle Name:ERAKIS
Authorized Official - Last Name:EBRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED DOULA
Authorized Official - Phone:575-840-7615
Mailing Address - Street 1:212 S LEA AVE
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:NM
Mailing Address - Zip Code:88203-4576
Mailing Address - Country:US
Mailing Address - Phone:575-347-1315
Mailing Address - Fax:
Practice Address - Street 1:2306 MILLS DR
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:NM
Practice Address - Zip Code:88203-2408
Practice Address - Country:US
Practice Address - Phone:575-347-1315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-09
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty