Organization
WITH GREAT LOVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY TISDALE BCBA, LBA (OWNER)
(314) 920-1828
Entity
Organization
Contact information
Practice address
1203 US HIGHWAY 98 STE 2A9, DAPHNE, AL 36526-3901
(314) 920-1828
(251) 243-0984
Mailing address
1203 US HIGHWAY 98 STE 2A9, DAPHNE, AL 36526-3901
(314) 920-1828
(251) 243-0984
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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