Individual
LATRICE LASHAE LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
136 FORUM DR # 108, COLUMBIA, SC 29229-7942
(803) 251-9465
(866) 736-0574
Mailing address
732 DIAL CREEK RD, ELGIN, SC 29045-2003
(803) 331-7767
(866) 736-0574
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11317
NC
101YM0800X
Mental Health Counselor
5754
SC
101YM0800X
Mental Health Counselor
6051
SC
101YP2500X
Professional Counselor
0015984
CO
101YP2500X
Professional Counselor
009331
GA
101YP2500X
Professional Counselor
0701010289
VA
101YP2500X
Professional Counselor
Primary
6051
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC1506
—
SC
Enumeration date
12/10/2014
Last updated
05/03/2022
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