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Organization
LOVE LIFE PSYCHIATRY
Active
Organization
LOVE LIFE PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA FISHER PMHNP-BC (OWNER)
(828) 200-6770
Entity
Organization
Contact information
Practice address
440 E WASHINGTON AVE, PIERSON, FL 32180-2311
(813) 776-0010
(813) 709-8562
Mailing address
1866 JIM REDMAN PKWY, PLANT CITY, FL 33563-6914
(813) 776-0010
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/10/2024
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