Provider Demographics
NPI:1659806909
Name:LEADING BY EXAMPLE LLC
Entity Type:Organization
Organization Name:LEADING BY EXAMPLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DEVELOPMENT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:RIMI
Authorized Official - Suffix:
Authorized Official - Credentials:LGPC, NCC, MS
Authorized Official - Phone:410-780-2692
Mailing Address - Street 1:35 KENSINGTON PKWY
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-1851
Mailing Address - Country:US
Mailing Address - Phone:410-671-2705
Mailing Address - Fax:410-670-3010
Practice Address - Street 1:35 KENSINGTON PKWY
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-1851
Practice Address - Country:US
Practice Address - Phone:410-671-2705
Practice Address - Fax:410-670-3010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-25
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health