| Lead4life, Inc. | |
|
225 N Division St Salisbury MD 21801-4203 | |
| (301) 672-4319 | |
| Not Available |
| Full Name | Lead4life, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 225 N Division St, Salisbury, Maryland |
| Authorized Official Name and Position | Jennifer Gauthier (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3016724319 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lead4life, Inc. Po Box 306 Olney MD 20830-0306 Ph: (301) 672-4319 | Lead4life, Inc. 225 N Division St Salisbury MD 21801-4203 Ph: (301) 672-4319 |
| NPI Number | 1043745136 |
|---|---|
| Provider Enumeration Date | 04/26/2017 |
| Last Update Date | 04/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043745136 | NPI | - | NPPES |
| 201507200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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