This chapter aims to identify the ways in which spirituality, religion and the Black Church help to shape a spiritual health identity in a group of Black women by placing their lived experiences at the center of analysis using methods that are epistemologically consistent with how they understand the world. A spiritual health identity refers to the recognition and consciousness that a healthy spiritual life is essential to one's existence. It effects how they see themselves and their relationships to other people. Black women's ways of knowing are often pushed to the margins and lacking validation in mainstream society. Utilizing a womanist epistemological framework allows Black women to define themselves and lifts up the ways, spaces and places that help them make meaning.