Healthcare Provider Details

I. General information

NPI: 1932127487
Provider Name (Legal Business Name): LINDA E LOVE LCSW PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 10/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 ROLLING HILLS DR SUITE 201
RICHMOND VA
23294-5011
US

IV. Provider business mailing address

PO BOX 782
SANDSTON VA
23150-0782
US

V. Phone/Fax

Practice location:
  • Phone: 804-270-6807
  • Fax: 804-270-7661
Mailing address:
  • Phone: 804-270-6807
  • Fax: 804-270-7661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. LINDA E. LOVE
Title or Position: PRESIDENT
Credential: LCSW
Phone: 804-270-6807