| Organization Name: | TURN OF A NEWLEAF,INC |
| NPI Number: | 1356668156 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICOLE SUTHERLAND (CEO/FOUNDER) |
| Mailing Address: | 9693 Hagel Circle Lorton |
| State: | VA US |
| Postal Code: | 22079 |
| Phone Number: | 7033390106 |
| Fax Number: | |
| NPI Enumeration Date: | 05/03/2010 |
| NPI Last Update Date: | 10/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 1042266 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |