MEDICARE: THE SACRED WOMB

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1114713088
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE SACRED WOMB

Provider Business Mailing Address
First Line	:	7821 E 49TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64129-2145
Country	:	US
Telephone Number	:	816-797-0502
Fax Number	:

Provider Business Practice Location Address
First Line	:	7821 E 49TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64129-2145
Country	:	US
Telephone Number	:	816-797-0502
Fax Number	:

Authorized Official
Title or Position	:	DOULA
Name	:	MERCEDES LABRADOR
Credential	:
Telephone Number	:	816-797-0502

Provider Enumeration Date	:	04/17/2025
Last Update Date	:	04/17/2025

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Directions to “THE SACRED WOMB ” Practice Location

Language	Start Address	Practice Location

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