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Organization
LOVE & SUPPORT COUNSELING AND CONSULTING LLC
Active
Organization
LOVE & SUPPORT COUNSELING AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE IVEY (OWNER)
(478) 290-5329
Entity
Organization
Contact information
Practice address
206 QUEEN ST STE 4, VIDALIA, GA 30474-4289
(478) 290-5329
(912) 403-3052
Mailing address
206 QUEEN ST STE 4, VIDALIA, GA 30474-4289
(478) 290-5329
(912) 403-3052
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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