MEDICARE: 3S LOVE

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1518296524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	3S LOVE

Provider Business Mailing Address
First Line	:	3120 FLORAL GROVE LN APT 101
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28216-6651
Country	:	US
Telephone Number	:	803-556-2274
Fax Number	:

Provider Business Practice Location Address
First Line	:	3120 FLORAL GROVE LN APT 101
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28216-6651
Country	:	US
Telephone Number	:	803-556-2274
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	SSHARIKA MCFADDEN
Credential	:	MA NCLPC BOARD ELIG
Telephone Number	:	803-556-2274

Provider Enumeration Date	:	12/22/2009
Last Update Date	:	12/22/2009

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Directions to “3S LOVE ” Practice Location

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