Organization
ANTOINETTE PLACE LLC
Active
Parent organization
ANTOINETTE PLACE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANTOINETTE PLACE LLC
Authorized official
ANTOINETTE M LEBBIE (CEO)
(240) 533-7437
Entity
Organization
Contact information
Practice address
11944 BENTON LAKE RD, BRISTOW, VA 20136-6159
(240) 533-7437
Mailing address
11944 BENTON LAKE RD, BRISTOW, VA 20136-6159
(240) 533-7437
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/25/2026
Last updated
05/25/2026
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