Living Free Health Services in Annandale - Addiction (substance Use Disorder)
Living Free Health Services - NPI 1376660233
Living Free Health Services is a Addiction (substance Use Disorder) in Annandale, Virginia. Living Free Health Services practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Living Free Health Services is 1376660233. The last update date is 2007-08-01.
Living Free Health Services's current location address is 4306 Evergreen Ln Ste 204, Annandale, Virginia. You can contact this provider via phone number 7037501292 and fax number 7036420859. The mailing address for Living Free Health Services is 4306 Evergreen Ln Ste 204, Annandale, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Living Free Health Services |
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Address | 4306 Evergreen Ln Ste 204, Annandale, Virginia |
Phone Number | 7037501292 |
Fax Number | 7036420859 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
---|---|
Authorized Official Name | Warden Marietta |
Credentials | R.N., C.C. |
Telephone Number | 7037501292 |
NPI Number Detail
NPI Number | 1376660233 |
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Provider Enumeration Date | 2007-03-24 |
Last Updated Date | 2007-08-01 |
Provider Mailing Address Detail
Address | 4306 Evergreen Ln Ste 204 |
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City | Annandale |
State | Virginia (VA) |
Post Code | 220033217 |
Phone Number | 7037501292 |
Fax Number | 7036420859 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | 149 |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
GV6 | VA | AETNA | |
GV6 | VA | CAREFIRST CAREFIRST BLUE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Living Free Health Services?
The Living Free Health Services has been issued the NPI (National Provider Identifier) 1376660233 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Living Free Health Services's physical address?
The Living Free Health Services is physically located at 4306 Evergreen Ln Ste 204, in the city of Annandale, VA, with the postal code 220033217.
What is Living Free Health Services's area of expertise and its corresponding taxonomy classification?
The Living Free Health Services's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.
On what date did Living Free Health Services receive its 1376660233 assignment from the Centers for Medicare & Medicaid Services?
The Living Free Health Services was assigned its 1376660233 on 2007-03-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Living Free Health Services last refreshed?
The information related to the Living Free Health Services, including its address, specialty, and other relevant details, was last updated on 2007-08-01.