Organization
LEAD4LIFE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M GAUTHIER MSW (EXECUTIVE DIRECTOR)
(301) 672-4319
Entity
Organization
Contact information
Practice address
15825 SHADY GROVE RD STE 35, ROCKVILLE, MD 20850-4033
(301) 672-4319
Mailing address
15825 SHADY GROVE RD STE 35, ROCKVILLE, MD 20850-4033
(240) 499-8949
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201507200
—
MD
Enumeration date
08/13/2018
Last updated
08/13/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up