Provider Demographics
NPI:1659556587
Name:AUTUMNLEAF GROUP, INC.
Entity Type:Organization
Organization Name:AUTUMNLEAF GROUP, INC.
Other - Org Name:ADOPTION ATTACHMENT PARTNERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JANINE
Authorized Official - Middle Name:N
Authorized Official - Last Name:HARRIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:703-658-7103
Mailing Address - Street 1:8983 HERSAND DR
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-1689
Mailing Address - Country:US
Mailing Address - Phone:703-658-7103
Mailing Address - Fax:
Practice Address - Street 1:8983 HERSAND DR
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-1689
Practice Address - Country:US
Practice Address - Phone:703-658-7103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-09
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty