| Leading Life Services, Llc. | |
|
6564 Loisdale Ct Ste 600d Springfield VA 22150-1838 | |
| (202) 910-6443 | |
| Not Available |
| Full Name | Leading Life Services, Llc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6564 Loisdale Ct Ste 600d, Springfield, Virginia |
| Authorized Official Name and Position | Mercedez Johnson (CEO) |
| Authorized Official Contact | 2029106443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leading Life Services, Llc. 6564 Loisdale Ct Ste 600d Springfield VA 22150-1838 Ph: () - | Leading Life Services, Llc. 6564 Loisdale Ct Ste 600d Springfield VA 22150-1838 Ph: (202) 910-6443 |
| NPI Number | 1003501461 |
|---|---|
| Provider Enumeration Date | 04/10/2023 |
| Last Update Date | 09/15/2023 |
| Certification Date | 09/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003501461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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