Organization
NEW LEAF COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE KNOX MA, LPC (CLINICAL DIRECTOR)
(910) 228-4798
Entity
Organization
Contact information
Practice address
8712 SUDLEY RD, MANASSAS, VA 20110-4405
(571) 599-0312
Mailing address
8712 SUDLEY RD, MANASSAS, VA 20110-4405
(571) 599-0312
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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