LIVING FREE HEALTH SERVICES (NPI# 1376660233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376660233 |
| Entity Type | Organization |
| Organization Name | LIVING FREE HEALTH SERVICES |
| Practice Address |
4306 Evergreen Ln Ste 204 Annandale VA 22003-3217 |
| Practice Telephone | 7037501292 |
| Practice Fax Number | 7036420859 |
| Mailing Telephone | 7037501292 |
| Mailing Fax Number | 7036420859 |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2007-08-01 |
| Authorized Official Name | MS. MARIETTA WARDEN (PRESIDENT) |
| Authorized Official Telephone | 7037501292 |
| Authorized Official Credential | R.N., C.C.S.,C.A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
149 | VA | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
149 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | AETNA | GV6 | 01 |
| VA | CAREFIRST CAREFIRST BLUE | GV6 | 01 |
| Street Address |
4306 EVERGREEN LN STE 204 |
| City | ANNANDALE |
| State | VA |
| Zip Code | 22003-3217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003330275 | Marietta Warden | Counselor | 4306 Evergreen Ln Ste 204, Annandale, VA 22003-3217 | 2017-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741758 | Lien Hong Do | Pharmacist | 4014 Thornton Street, Annandale, VA 22003 | 2019-10-14 |
| 1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1053841668 | Rosalie Zuniga | Social Worker | 6800 Algonquin Court, Annandale, VA 22003 | 2017-06-15 |
| 1386179133 | Adaptive Care LLC | In Home Supportive Care | 4603 Logsdon Drive, Annandale, VA 22003 | 2017-04-28 |
| 1457808933 | Evergreen Foot and Ankle LLC | Podiatrist | 6928 Little River Turnpike, Suite B, Annandale, VA 22003 | 2016-09-01 |
| 1093165672 | Brightview Fairfax, LLC | Alzheimer Center (Dementia Center) | 3450 Gallows Road, Annandale, VA 22003 | 2016-06-15 |
| 1063867844 | Sports Care Acupuncture Clinic, LLC | Acupuncturist | 7535 Little River Tnpk #103a, Annandale, VA 22003 | 2016-04-28 |
| 1578925806 | Nu Dimensions, LLC | Day Training, Developmentally Disabled Services | 3602 Balin Ct, Annandale, VA 22003 | 2016-03-25 |
| 1932505641 | Julia Jiyoung Lee | Acupuncturist | 7535 Little River Tnpk, Suite 103a, Annandale, VA 22003 | 2014-11-06 |
| Find all providers in zip 22003 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306213855 | Sheila Graham | Counselor | 4659 Logsdon Dr, Annandale, VA 22003-3564 | 2015-08-31 |
| 1467705228 | Arlyn Elizabeth Marshall | Counselor | 3289 Woodburn Rd Ste 300, Annandale, VA 22003-7355 | 2012-10-18 |
| 1033449780 | Mark Hodkinson | Counselor | 2 Cheryle Way, Annandale, NJ 08801 | 2009-12-31 |
| 1619141512 | David A Errickson | Counselor | 1308 Route 31 N, Annandale, NJ 08801-3119 | 2008-04-22 |
| 1194325159 | Tatiana Bergstrom | Counselor | 5105q Backlick Rd, Annandale, VA 22003-6072 | 2020-10-29 |
| 1003330275 | Marietta Warden | Counselor | 4306 Evergreen Ln Ste 204, Annandale, VA 22003-3217 | 2017-07-31 |
| 1194275032 | Katrice Goff | Counselor | 3300 Woodburn Rd, Annandale, VA 22003-1202 | 2016-10-04 |
| 1083958052 | Nancy Knight Gordon | Counselor | 3289 Woodburn Rd Ste 300, Annandale, VA 22003-7355 | 2012-11-15 |
| 1790792653 | Susan Beardsley Gatsos | Counselor | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2006-08-02 |
| 1790791424 | Nancy Macleod | Counselor | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2006-08-01 |
| Find all providers in ANNANDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.