| Leaders For Life | |
|
530 E Main St Ste 410 Richmond VA 23219-2431 | |
| (804) 477-6137 | |
| Not Available |
| Full Name | Leaders For Life |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 530 E Main St Ste 410, Richmond, Virginia |
| Authorized Official Name and Position | Fatima Smith (CEO) |
| Authorized Official Contact | 8044776137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leaders For Life 3106 Winnie Dr South Chesterfield VA 23834-5727 Ph: (804) 926-0111 | Leaders For Life 530 E Main St Ste 410 Richmond VA 23219-2431 Ph: (804) 477-6137 |
| NPI Number | 1154723617 |
|---|---|
| Provider Enumeration Date | 09/16/2014 |
| Last Update Date | 04/11/2024 |
| Certification Date | 04/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154723617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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