Healthcare Provider Details

I. General information

NPI: 1568376937
Provider Name (Legal Business Name): BIRTH2EMBRACE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4819 SW 83RD TER
GAINESVILLE FL
32608-4304
US

IV. Provider business mailing address

4819 SW 83RD TER
GAINESVILLE FL
32608-4304
US

V. Phone/Fax

Practice location:
  • Phone: 352-870-8531
  • Fax:
Mailing address:
  • Phone: 352-870-8531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name: JOHANNA LIVINGSTON
Title or Position: OWNER/DOULA
Credential:
Phone: 352-354-7331