| Life Hope Counseling Center Llc | |
|
44679 Endicott Dr Ste 412 Ashburn VA 20147-5567 | |
| (703) 957-8761 | |
| (703) 270-0525 |
| Full Name | Life Hope Counseling Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 44679 Endicott Dr Ste 412, Ashburn, Virginia |
| Authorized Official Name and Position | Tisa Mckenna Pinkerton (OWNER/THERAPIST) |
| Authorized Official Contact | 7039578761 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Hope Counseling Center Llc 44679 Endicott Dr Ste 412 Ashburn VA 20147-5567 Ph: (703) 957-8761 | Life Hope Counseling Center Llc 44679 Endicott Dr Ste 412 Ashburn VA 20147-5567 Ph: (703) 957-8761 |
| NPI Number | 1982105573 |
|---|---|
| Provider Enumeration Date | 02/28/2018 |
| Last Update Date | 06/30/2022 |
| Certification Date | 06/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982105573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0904009000 (Virginia) | Primary |
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