Healthcare Provider Details

I. General information

NPI: 1992669808
Provider Name (Legal Business Name): FAMILY GROWTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 01/31/2026
Certification Date: 01/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 E 2ND ST # 15
FREDERICK MD
21701-5302
US

IV. Provider business mailing address

25 E 2ND ST # 15
FREDERICK MD
21701-5302
US

V. Phone/Fax

Practice location:
  • Phone: 240-209-4829
  • Fax: 240-651-6886
Mailing address:
  • Phone: 240-209-4829
  • Fax: 240-651-6886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHELSI RIFFE
Title or Position: OWNER/THERAPIST
Credential: LCSW-C
Phone: 240-382-0803