| Victorious Life Serives | |
|
1800 Diagonal Rd Suite 600 Alexandria VA 22314-2840 | |
| (703) 647-6034 | |
| Not Available |
| Full Name | Victorious Life Serives |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1800 Diagonal Rd, Alexandria, Virginia |
| Authorized Official Name and Position | April Lavonne Umstead (EXECUTIVE DIRECTOR VLS) |
| Authorized Official Contact | 7036476034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victorious Life Serives 1800 Diagonal Road Suite 600 Alexandria VA 22314 Ph: (703) 647-6034 | Victorious Life Serives 1800 Diagonal Rd Suite 600 Alexandria VA 22314-2840 Ph: (703) 647-6034 |
| NPI Number | 1831425263 |
|---|---|
| Provider Enumeration Date | 10/20/2009 |
| Last Update Date | 10/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831425263 | NPI | - | NPPES |
| 1407016181 | Medicaid | MD | |
| 1407016181 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (Maryland) | Secondary |
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