Provider Demographics
NPI:1316668304
Name:MY WAY BIRTH & WOMEN'S SERVICES, LLC
Entity type:Organization
Organization Name:MY WAY BIRTH & WOMEN'S SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED NURSE MIDWIFE
Authorized Official - Prefix:MRS
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:R
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:240-380-9051
Mailing Address - Street 1:14502 GREENVIEW DR STE 206
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-4249
Mailing Address - Country:US
Mailing Address - Phone:240-380-9051
Mailing Address - Fax:
Practice Address - Street 1:14502 GREENVIEW DR STE 206
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-4249
Practice Address - Country:US
Practice Address - Phone:240-380-9051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy