Organization
LEADERS FOR LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FATIMA SMITH (CEO)
(804) 477-6137
Entity
Organization
Contact information
Practice address
2000 BREMO RD STE 200, RICHMOND, VA 23226-2440
(804) 477-6137
(804) 800-4222
Mailing address
2000 BREMO RD, RICHMOND, VA 23226-2440
(804) 477-6137
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
09/16/2014
Last updated
01/08/2026
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