# LOVE & SUPPORT COUNSELING AND CONSULTING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326778069
- **Authorized official:** STEPHANIE IVEY (OWNER)
- **Authorized official phone:** (478) 290-5329

## Contact information

- **Practice address:** 206 QUEEN ST STE 4, VIDALIA, GA 30474-4289
- **Practice address phone:** (478) 290-5329
- **Practice address fax:** (912) 403-3052
- **Mailing address:** 206 QUEEN ST STE 4, VIDALIA, GA 30474-4289
- **Mailing address phone:** (478) 290-5329
- **Mailing address fax:** (912) 403-3052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/15/2022
- **Last updated:** 06/15/2022