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NPI Code Detail

MEDICARE: A LEAP OF FAITH COUNSELING, COACHING, AND CONSULTING

MEDICARE: A LEAP OF FAITH COUNSELING, COACHING, AND CONSULTING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1487408951
Entity Type Code : Organization
Provider Name (Legal Business Name) : A LEAP OF FAITH COUNSELING, COACHING, AND CONSULTING
Provider Business Mailing Address
First Line : 938 E SWAN CREEK RD # 777
Second Line :
City : FORT WASHINGTON
State : MD
Zip : 20744-5250
Country : US
Telephone Number : 240-493-9200
Fax Number : 240-493-9205
Provider Business Practice Location Address
First Line : 8507 OXON HILL RD STE 200
Second Line :
City : FORT WASHINGTON
State : MD
Zip : 20744-4774
Country : US
Telephone Number : 301-965-0159
Fax Number : 240-493-9205
Authorized Official
Title or Position : OWNER
Name : YOSHICA LASHEA MCCULLOUGH
Credential :
Telephone Number : 301-965-0159
Provider Enumeration Date : 04/12/2024
Last Update Date : 12/15/2025

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Directions to “A LEAP OF FAITH COUNSELING, COACHING, AND CONSULTING ” Practice Location

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