Healthcare Provider Details

I. General information

NPI: 1699611673
Provider Name (Legal Business Name): LCF KIDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 S WASHINGTON ST STE 100
FALLS CHURCH VA
22046-2936
US

IV. Provider business mailing address

150 S WASHINGTON ST STE 100
FALLS CHURCH VA
22046-2936
US

V. Phone/Fax

Practice location:
  • Phone: 703-909-7971
  • Fax:
Mailing address:
  • Phone: 703-909-7971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RICARDO CUNNINGHAM
Title or Position: OWNER
Credential:
Phone: 703-909-7971