Healthcare Provider Details

I. General information

NPI: 1679111652
Provider Name (Legal Business Name): FAMILY WAYS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2019
Last Update Date: 09/06/2023
Certification Date: 12/20/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11000 ROSEMONT DR
ROCKVILLE MD
20852-3651
US

IV. Provider business mailing address

11000 ROSEMONT DR
ROCKVILLE MD
20852-3651
US

V. Phone/Fax

Practice location:
  • Phone: 301-412-2976
  • Fax:
Mailing address:
  • Phone: 301-412-2976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name: RACHEL FRIER CARBONNEAU
Title or Position: DIRECTOR
Credential:
Phone: 301-412-2976