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General NPI Number Information
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NPI Number | 1316362445
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Entity Type | Organization
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Legal Business Name | LOVE THERAPY
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Dates
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Enumeration Date | 02/26/2014
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Last Update Date | 02/26/2014
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Provider Practice Location Address
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Address Line | 2150 S CENTRAL EXPY SUITE 200
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City | MCKINNEY
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State | TX
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Zip | 75070-4070
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Country | US
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Telephone | 469-287-6879
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Fax | 888-202-1875
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Provider Business Mailing Address
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Address Line | 2150 S CENTRAL EXPY SUITE 200
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City | MCKINNEY
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State | TX
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Zip | 75070-4070
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Country | US
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Telephone | 469-287-6879
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Fax | 888-202-1875
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | LAQUESIA LOVE
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Credential | LPC
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Telephone | 469-287-6879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 63650
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License Number State | TX
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