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Organization
ONE LOVE PERIODIC SERVICES, INC
Active
Organization
ONE LOVE PERIODIC SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVIE LYNN WIDEMAN (CEO)
(828) 433-4567
Entity
Organization
Contact information
Practice address
451 N MAIN ST, MARION, NC 28752-3304
(828) 559-0414
Mailing address
100 QUEEN ST, MORGANTON, NC 28655-3440
(828) 433-4567
(828) 433-4576
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3410218
—
NC
05
—
5916270
—
NC
05
—
6008242
—
NC
05
—
8301457H
—
NC
05
—
8301457V
—
NC
05
—
8703220
—
NC
Enumeration date
12/23/2011
Last updated
01/16/2020
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