Organization
LEADING LIFE SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERCEDEZ JOHNSON (CEO)
(202) 701-6431
Entity
Organization
Contact information
Practice address
6564 LOISDALE CT STE 600D, SPRINGFIELD, VA 22150-1838
(202) 701-6431
Mailing address
6564 LOISDALE CT STE 600D, SPRINGFIELD, VA 22150-1838
(703) 206-6931
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
12/06/2024
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