Healthcare Provider Details

I. General information

NPI: 1316668304
Provider Name (Legal Business Name): MY WAY BIRTH & WOMEN'S SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2022
Last Update Date: 09/07/2022
Certification Date: 09/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14502 GREENVIEW DR STE 206
LAUREL MD
20708-4249
US

IV. Provider business mailing address

14502 GREENVIEW DR STE 206
LAUREL MD
20708-4249
US

V. Phone/Fax

Practice location:
  • Phone: 240-380-9051
  • Fax:
Mailing address:
  • Phone: 240-380-9051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. CASSANDRA R WOODS
Title or Position: CERTIFIED NURSE MIDWIFE
Credential: CNM
Phone: 240-380-9051