Organization
LEAF BEHAVIOR SUPPORT LLC
Active
Organization
LEAF BEHAVIOR SUPPORT LLC
Active
Parent organization
LEAF BEHAVIOR SUPPORT
Other names
LEAF Mental Health Support
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEAF BEHAVIOR SUPPORT
Authorized official
WHITNEY KING (CEO)
(757) 971-1414
Entity
Organization
Contact information
Practice address
3577 BRANNON DR, VIRGINIA BEACH, VA 23456-6913
(757) 971-1414
(757) 937-0287
Mailing address
3577 BRANNON DR, VIRGINIA BEACH, VA 23456-6913
(757) 971-1414
(757) 937-0287
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/09/2022
Last updated
04/09/2022
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