Organization · NPI-2

Life Hope Counseling Center LLC

Community/Behavioral Health · Ashburn, VA

NPI number1982105573
StatusActive
Last updated in NPPESJun 30, 2022

Details

NPI
1982105573
Entity type
Organization (NPI-2)
Legal business name
Life Hope Counseling Center LLC
Organization subpart
No
Enumeration date
Feb 28, 2018
Certification date
Jun 30, 2022
Last updated
Jun 30, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health0904009000VAYes

Practice location

44679 Endicott Dr Ste 412
Ashburn, VA 20147-5567

Phone 703-957-8761 · Fax 703-270-0525

Mailing address

44679 Endicott Dr Ste 412
Ashburn, VA 20147-5567

Phone 703-957-8761 · Fax 703-270-0525

Other practice locations

14540 John Marshall Hwy
Gainesville, VA 20155-1691

Phone 703-570-5708

Authorized official

Tisa Mckenna Pinkerton
Owner/Therapist
7039578761

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