MEDICARE: FAMILY HEALTH AND WELLNESS CLINIC, LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM1300X	Multi-Specialty Clinic/Center
2	261Q00000X	Clinic/Center
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
4	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1538701859
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY HEALTH AND WELLNESS CLINIC, LLC.

Provider Business Mailing Address
First Line	:	8101 SANDY SPRING RD STE 300
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20707-3596
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8101 SANDY SPRING RD, SUITE 300 #1020
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20707
Country	:	US
Telephone Number	:	816-301-4135
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. AMANDA FELIX
Credential	:	DNP, PMHNP-BC, AGNP
Telephone Number	:	402-484-4226

Provider Enumeration Date	:	10/09/2019
Last Update Date	:	05/26/2026

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