Organization
MY LEAF
Active
Other names
L.E.A.F of RVA, LLC, MY LEAF
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL PERSON (OWNER/CEO)
(804) 778-0504
Entity
Organization
Contact information
Practice address
545 SOUTHLAKE BLVD, NORTH CHESTERFIELD, VA 23236-3042
(804) 778-0504
Mailing address
8201 STERLING COVE TER, CHESTERFIELD, VA 23838-5129
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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