Provider Demographics
NPI:1265321806
Name:CROWNED & CRADLED LLC
Entity type:Organization
Organization Name:CROWNED & CRADLED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TIARA
Authorized Official - Middle Name:LATIA
Authorized Official - Last Name:CALDWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPN, IBCLC
Authorized Official - Phone:301-404-0821
Mailing Address - Street 1:9818 AMBLER LN
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-2202
Mailing Address - Country:US
Mailing Address - Phone:301-404-0821
Mailing Address - Fax:
Practice Address - Street 1:9818 AMBLER LN
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-2202
Practice Address - Country:US
Practice Address - Phone:301-404-0821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty