Provider Demographics
NPI:1467758656
Name:FUTURE LEADERS OF AMERICA, LLC
Entity Type:Organization
Organization Name:FUTURE LEADERS OF AMERICA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAGE
Authorized Official - Middle Name:A
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:240-770-7153
Mailing Address - Street 1:1401 MERCANTILE LN STE 251
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-4303
Mailing Address - Country:US
Mailing Address - Phone:240-770-7153
Mailing Address - Fax:866-476-1523
Practice Address - Street 1:1401 MERCANTILE LN STE 251
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-4303
Practice Address - Country:US
Practice Address - Phone:240-770-7153
Practice Address - Fax:866-476-1523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-04
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty