Healthcare Provider Details

I. General information

NPI: 1871407312
Provider Name (Legal Business Name): ONE LOVE BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7320 E FLETCHER AVE STE 172
TAMPA FL
33637-0916
US

IV. Provider business mailing address

7320 E FLETCHER AVE STE 172
TAMPA FL
33637-0916
US

V. Phone/Fax

Practice location:
  • Phone: 305-588-7039
  • Fax:
Mailing address:
  • Phone: 305-588-7039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: SAID MANSUR
Title or Position: PRESIDENT
Credential:
Phone: 305-588-7039