LIFELONG GOOD HEALTH – NPI #1659788909
Clinic/Center

LIFELONG GOOD HEALTH is an AHC clinic located in WOODBRIDGE, VA. NPPES has assigned the NPI number 1659788909 to LIFELONG GOOD HEALTH on July 18, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIFELONG GOOD HEALTH below.

NPI Profile for
LIFELONG GOOD HEALTH

NPI Number
1659788909
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIFELONG GOOD HEALTH
Primary location
5721 RHODE ISLAND DR
WOODBRIDGE, VA 22193
Phone: (703) 389-6612 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LUCIA MITCHELL
REGISTERED DIETITIAN
Phone: (703) 389-6612
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QH0100X
- Clinic/Center / Health Service (Primary)		 DC D1100000386

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.