Healthcare Provider Details

I. General information

NPI: 1154216745
Provider Name (Legal Business Name): THE FAMILY NETWORK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2025
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 MAIN ST APT 2
PLAINFIELD CT
06374-2219
US

IV. Provider business mailing address

PO BOX 335
PLAINFIELD CT
06374-0335
US

V. Phone/Fax

Practice location:
  • Phone: 860-230-4090
  • Fax:
Mailing address:
  • Phone: 860-230-4090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: KIM ELIZABETH YOUNG
Title or Position: OWNER
Credential: LCSW
Phone: 860-230-4090