Organization
TOTAL LOVE CARE HEALTH LLC
Active
Other names
Tysheka M Cephas
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ARMENTA CPB (CREDENTIALING SPECIALIST)
(228) 334-6609
Entity
Organization
Contact information
Practice address
1526 MILLS AVE, GULFPORT, MS 39501-3618
(228) 357-0912
(228) 678-2248
Mailing address
1526 MILLS AVE, GULFPORT, MS 39501-3618
(228) 357-0912
(228) 678-2248
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
07/19/2024
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