Provider Demographics
NPI:1851602809
Name:FAMILY ADVOCACY NETWORK
Entity type:Organization
Organization Name:FAMILY ADVOCACY NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:301-322-1238
Mailing Address - Street 1:8601 MARTIN LUTHER KING JR HWY
Mailing Address - Street 2:SUITE 4
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-1500
Mailing Address - Country:US
Mailing Address - Phone:301-322-1238
Mailing Address - Fax:301-322-1239
Practice Address - Street 1:8601 MARTIN LUTHER KING JR HWY
Practice Address - Street 2:SUITE 4
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-1500
Practice Address - Country:US
Practice Address - Phone:301-322-1238
Practice Address - Fax:301-322-1239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-24
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC350101YP2500X
MD010271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty