| My Leaf | |
|
545 Southlake Blvd North Chesterfield VA 23236-3042 | |
| (804) 778-0504 | |
| Not Available |
| Full Name | My Leaf |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 545 Southlake Blvd, North Chesterfield, Virginia |
| Authorized Official Name and Position | Carol Person (OWNER/CEO) |
| Authorized Official Contact | 8047780504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Leaf 8201 Sterling Cove Ter Chesterfield VA 23838-5129 Ph: () - | My Leaf 545 Southlake Blvd North Chesterfield VA 23236-3042 Ph: (804) 778-0504 |
| NPI Number | 1013709146 |
|---|---|
| Provider Enumeration Date | 05/22/2025 |
| Last Update Date | 05/22/2025 |
| Certification Date | 05/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013709146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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