Healthcare Provider Details

I. General information

NPI: 1912509969
Provider Name (Legal Business Name): LOVE MATTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2020
Last Update Date: 05/03/2022
Certification Date: 05/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 FORUM DR
COLUMBIA SC
29229-7942
US

IV. Provider business mailing address

732 DIAL CREEK RD
ELGIN SC
29045-2003
US

V. Phone/Fax

Practice location:
  • Phone: 803-251-9465
  • Fax: 866-736-0574
Mailing address:
  • Phone: 803-331-7767
  • Fax: 866-736-0574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: LATRICE L LOVE
Title or Position: OWNER
Credential: LCMHC, LPC
Phone: 803-331-7767