Organization
LOVE COMMUNITY BEHAVIORAL HEALTH SERVICES LLC
Active
Other names
Love Community Behavioral Health Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLISA LOVE (PMHNP)
(618) 550-5028
Entity
Organization
Contact information
Practice address
112 MEADOWCREST DR, BELLEVILLE, IL 62221-6749
(618) 550-5028
Mailing address
112 MEADOWCREST DR, BELLEVILLE, IL 62221-6749
(618) 550-5028
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
07/10/2025
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