Organization
LOVE EMPOWER MENTOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVE ANENO LCSW (OWNER)
(678) 250-6346
Entity
Organization
Contact information
Practice address
242 CREEKSTONE RDG, WOODSTOCK, GA 30188-3732
(678) 250-6346
Mailing address
531 RENDEZVOUS RD, ACWORTH, GA 30102-8802
(678) 250-6346
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
08/24/2022
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