LIVING FREE HEALTH SERVICES NPI 1376660233

NPI Information

NPI: 1376660233
Provider Name: LIVING FREE HEALTH SERVICES
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
4306 EVERGREEN LN STE 204
ANNANDALE, VA
ZIP 22003
Phone: (703) 750-1292
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LIVING FREE HEALTH SERVICES is an addiction (substance use disorder) counselor in Annandale, VA. LIVING FREE HEALTH SERVICES NPI is 1376660233. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4306 EVERGREEN LN STE 204
ANNANDALE, VA
ZIP 22003-217
Phone: (703) 750-1292
Fax: (703) 642-0859

The provider's authorized official is Marietta Warden .
The authorized official title is President and has the following contact phone number (703) 750-1292.

The enumeration date for this NPI number is 3/24/2007 and was last updated on 8/1/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	149	VIRGINIA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	149	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GV6	OTHER	VIRGINIA	CAREFIRST CAREFIRST BLUE
2	GV6	OTHER	VIRGINIA	AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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