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NPI Code Detail

MEDICARE: BRENDA EVETTE LOVE QMHA

MEDICARE:   BRENDA EVETTE LOVE  QMHA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1255093753
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA EVETTE LOVE QMHA
Provider Business Mailing Address
First Line : PO BOX 785
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-8143
Country : US
Telephone Number : 469-980-0081
Fax Number :
Provider Business Practice Location Address
First Line : 5250 S PECOS RD # B
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-1289
Country : US
Telephone Number : 775-699-0110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2021
Last Update Date : 10/12/2021

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Directions to “ BRENDA EVETTE LOVE QMHA” Practice Location

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