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NPI Code Detail

MEDICARE: UGONNA LOVE

MEDICARE: UGONNA 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
1101YM0800XMental Health CounselorAPC008077

General Provider Information

NPI Number : 1851086573
Entity Type Code : Individual
Provider Name (Legal Business Name) : UGONNA LOVE
Provider Business Mailing Address
First Line : 3232 MEMORIAL DR
Second Line :
City : DECATUR
State : GA
Zip : 30032-3419
Country : US
Telephone Number : 404-783-2079
Fax Number :
Provider Business Practice Location Address
First Line : 3232 MEMORIAL DR
Second Line :
City : DECATUR
State : GA
Zip : 30032-3419
Country : US
Telephone Number : 404-783-2079
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2023
Last Update Date : 04/07/2023

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Directions to “ UGONNA LOVE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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