MEDICARE: LOVE OVER CRISIS LLC

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
1	251B00000X	Case Management Agency	S5792554	VA
2	347C00000X	Private Vehicle
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1386013282
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVE OVER CRISIS LLC

Provider Business Mailing Address
First Line	:	PO BOX 37
Second Line	:
City	:	FARMVILLE
State	:	VA
Zip	:	23901-0037
Country	:	US
Telephone Number	:	470-228-1773
Fax Number	:

Provider Business Practice Location Address
First Line	:	1839 THOMAS JEFFERSON HWY
Second Line	:
City	:	CHARLOTTE COURT HOUSE
State	:	VA
Zip	:	23923-3818
Country	:	US
Telephone Number	:	470-228-1773
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. SHELLEY L MAYS-COUCH
Credential	:	CEO, LCSW, CDP
Telephone Number	:	470-228-1773

Provider Enumeration Date	:	09/21/2015
Last Update Date	:	11/01/2022

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Directions to “LOVE OVER CRISIS LLC ” Practice Location

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