Healthcare Provider Details

I. General information

NPI: 1205758307
Provider Name (Legal Business Name): GENTLE BIRTHING IN SOUTH CAROLINA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3842 WOODLAWN ST
SHARON SC
29742-8777
US

IV. Provider business mailing address

3842 WOODLAWN ST
SHARON SC
29742-8777
US

V. Phone/Fax

Practice location:
  • Phone: 866-466-7654
  • Fax:
Mailing address:
  • Phone: 864-466-7654
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: STEPHANIE EBERLY
Title or Position: DOULA
Credential: CLD, CPD
Phone: 864-466-7654