Healthcare Provider Details

I. General information

NPI: 1063334167
Provider Name (Legal Business Name): AMMA'S HEART LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 W BALTIMORE ST
FUNKSTOWN MD
21734-1163
US

IV. Provider business mailing address

PO BOX 493
FUNKSTOWN MD
21734-0493
US

V. Phone/Fax

Practice location:
  • Phone: 240-643-8768
  • Fax: 888-443-7441
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: AMY MILLER
Title or Position: OWNER
Credential: CPM
Phone: 240-643-8768