Healthcare Provider Details

I. General information

NPI: 1568370740
Provider Name (Legal Business Name): WOVEN WITHIN BIRTH COLLECTIVE DOULA ST LOUIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1518 1ST ST
BARNHART MO
63012-1307
US

IV. Provider business mailing address

1518 1ST ST
BARNHART MO
63012-1307
US

V. Phone/Fax

Practice location:
  • Phone: 314-642-5457
  • Fax:
Mailing address:
  • Phone: 314-642-5457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MADELEINE INGRAM
Title or Position: OWNER
Credential:
Phone: 314-642-5457