Healthcare Provider Details

I. General information

NPI: 1154192409
Provider Name (Legal Business Name): LOVE RESILENCE COUNSELING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2024
Last Update Date: 03/08/2026
Certification Date: 03/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1406 GIBSON AVE
CLOVIS CA
93611-1416
US

IV. Provider business mailing address

1406 GIBSON AVE
CLOVIS CA
93611-1416
US

V. Phone/Fax

Practice location:
  • Phone: 559-545-6485
  • Fax:
Mailing address:
  • Phone: 559-545-6485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: BRANDY EUGENA DICKEY
Title or Position: OWNER
Credential: LMFT
Phone: 559-545-6485