# LOVE LIFE PSYCHIATRY

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

## Provider details

- **NPI number:** 1780374959
- **Authorized official:** ANDREA FISHER PMHNP-BC (OWNER)
- **Authorized official phone:** (828) 200-6770

## Contact information

- **Practice address:** 440 E WASHINGTON AVE, PIERSON, FL 32180-2311
- **Practice address phone:** (813) 776-0010
- **Practice address fax:** (813) 709-8562
- **Mailing address:** 1866 JIM REDMAN PKWY, PLANT CITY, FL 33563-6914
- **Mailing address phone:** (813) 776-0010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2023
- **Last updated:** 05/10/2024