Organization
LIFE HOPE COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TISA MCKENNA PINKERTON LCSW (OWNER/THERAPIST)
(703) 957-8761
Entity
Organization
Contact information
Practice address
44679 ENDICOTT DR STE 412, ASHBURN, VA 20147-5567
(703) 957-8761
(703) 270-0525
Mailing address
44679 ENDICOTT DR STE 412, ASHBURN, VA 20147-5567
(703) 957-8761
(703) 270-0525
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0904009000
VA
Other
Enumeration date
02/28/2018
Last updated
06/30/2022
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