LIFELONG GOOD HEALTH LLC
NPI 1588056139
Clinic/Center in Woodbridge, VA

Active since February 19, 2015
5721 RHODE ISALND DRIVE, WOODBRIDGE, VA 22193(703) 389-6612 Get Directions Write a Review

NPPES record last updated: February 19, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lifelong Good Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFELONG GOOD HEALTH LLC (NPI 1588056139) is a healthcare organization registered as a clinic/center in Woodbridge, Virginia and active in the NPI registry since February 2015. The organization lists Lucia Isac Mitchell, Registered Dietitian Nutritionist, as its authorized official.

NPPES Registry Identity

NPI1588056139
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLIFELONG GOOD HEALTH LLC
Location Address5721 RHODE ISALND DRIVEWoodbridge, VA 22193
Mailing Address14904 Jefferson Davis HwyWoodbridge, VA 22191-3908 · (703) 389-6612
Organization SubpartNo
Authorized OfficialLucia Isac MitchellRegistered Dietitian Nutritionist · (703) 389-6612
Enumeration DateFebruary 19, 2015
NPI 1588056139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in DC · D1100000386
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

5721 RHODE ISALND DRIVE, Woodbridge, VA 22193

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588056139, enumerated as an "organization" on February 19, 2015.

The provider is located at 5721 RHODE ISALND DRIVE WOODBRIDGE, VA 22193 and the phone number is (703) 389-6612.

Clinic/Center with taxonomy code 261Q00000X.