Provider Demographics
NPI:1992513774
Name:THE BIRTH TRIBE CLE LLC
Entity type:Organization
Organization Name:THE BIRTH TRIBE CLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NAKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:ND, MIDWIFE
Authorized Official - Phone:216-392-0942
Mailing Address - Street 1:10621 DUPONT AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44108-1349
Mailing Address - Country:US
Mailing Address - Phone:216-392-0942
Mailing Address - Fax:
Practice Address - Street 1:10621 DUPONT AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44108-1349
Practice Address - Country:US
Practice Address - Phone:216-392-0942
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-24
Last Update Date:2024-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175M00000XOther Service ProvidersMidwife, LayGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty