Healthcare Provider Details

I. General information

NPI: 1376499384
Provider Name (Legal Business Name): THE GATES OF BEAUTIFUL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10511 BATTLEVIEW PKWY
MANASSAS VA
20109-2343
US

IV. Provider business mailing address

10511 BATTLEVIEW PKWY
MANASSAS VA
20109-2343
US

V. Phone/Fax

Practice location:
  • Phone: 571-292-1615
  • Fax: 571-719-3975
Mailing address:
  • Phone: 571-292-1615
  • Fax: 571-342-4767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: ARANGU LYDIA NGUNDAM
Title or Position: CEO/ADMINISTRATOR
Credential:
Phone: 571-292-1615