Provider Demographics
NPI:1174335863
Name:EMBRACE BIRTHING
Entity type:Organization
Organization Name:EMBRACE BIRTHING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-332-7459
Mailing Address - Street 1:4 CASTLE BRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-6113
Mailing Address - Country:US
Mailing Address - Phone:772-332-7459
Mailing Address - Fax:
Practice Address - Street 1:4 CASTLE BRIDGE CT
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-6113
Practice Address - Country:US
Practice Address - Phone:772-332-7459
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-21
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty
No251V00000XAgenciesVoluntary or Charitable
No261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service