Provider Demographics
NPI:1225445695
Name:CENTER FOR LIFE STRATEGIES, LLC
Entity Type:Organization
Organization Name:CENTER FOR LIFE STRATEGIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:RITCIE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:703-437-6311
Mailing Address - Street 1:1800 MICHAEL FARADAY DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-5354
Mailing Address - Country:US
Mailing Address - Phone:703-437-6311
Mailing Address - Fax:703-437-6344
Practice Address - Street 1:1800 MICHAEL FARADAY DR
Practice Address - Street 2:SUITE 201
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-5354
Practice Address - Country:US
Practice Address - Phone:703-437-6311
Practice Address - Fax:703-437-6344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005368101YA0400X
VA0701004007101YP2500X
VA0810001957103TC0700X
VA09040073261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty