| Lead Changes Therapy, Inc. | |
|
42395 Ryan Rd Suite 112-109 Ashburn VA 20148-4863 | |
| (571) 643-8175 | |
| Not Available |
| Full Name | Lead Changes Therapy, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 42395 Ryan Rd, Ashburn, Virginia |
| Authorized Official Name and Position | Jared Christopher Conca (PRESIDENT) |
| Authorized Official Contact | 5716438715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lead Changes Therapy, Inc. 42395 Ryan Rd Suite 112-109 Ashburn VA 20148-4863 Ph: (571) 643-8175 | Lead Changes Therapy, Inc. 42395 Ryan Rd Suite 112-109 Ashburn VA 20148-4863 Ph: (571) 643-8175 |
| NPI Number | 1548604705 |
|---|---|
| Provider Enumeration Date | 04/18/2013 |
| Last Update Date | 04/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548604705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | B301997 (Virginia) | Primary |
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