Organization
KRISTY LOVE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTY DEVON SNIPES LCSW (THERAPIST)
(901) 604-0307
Entity
Organization
Contact information
Practice address
390 SPRUCE GLEN DR, CORDOVA, TN 38018-7366
(901) 604-0307
Mailing address
390 SPRUCE GLEN DR, CORDOVA, TN 38018-7366
(901) 604-0307
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548803588
—
AR
Enumeration date
04/06/2021
Last updated
04/06/2021
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