Healthcare Provider Details

I. General information

NPI: 1871952424
Provider Name (Legal Business Name): LOVE THERAPY AND CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2016
Last Update Date: 02/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3915 CASCADE RD SW SUITE T145
ATLANTA GA
30331-8512
US

IV. Provider business mailing address

3915 CASCADE RD SW SUITE T145
ATLANTA GA
30331-8512
US

V. Phone/Fax

Practice location:
  • Phone: 404-666-9261
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLPC007046
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC007046
License Number StateGA

VIII. Authorized Official

Name: KATRINA POINTER
Title or Position: OWNER
Credential: LPC
Phone: 404-666-9261