Leading Life Services, LLC.
Community/Behavioral Health in Springfield, VA. Organization (NPI-2).
NPI number1003501461
StatusActive
Last updated in NPPESDec 6, 2024
Details
- NPI
- 1003501461
- Entity type
- Organization (NPI-2)
- Legal business name
- Leading Life Services, LLC.
- Organization subpart
- No
- Enumeration date
- Apr 10, 2023
- Certification date
- Dec 6, 2024
- Last updated
- Dec 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
6564 Loisdale Ct Ste 600dSpringfield, VA 22150-1838
Phone 202-701-6431
Mailing address
6564 Loisdale Ct Ste 600dSpringfield, VA 22150-1838
Phone 703-206-6931
Authorized official
Mercedez Johnson
Ceo
2027016431
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