MEDICARE: LOVES LEGACY COUNSELING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	103TF0000X	Family Psychologist
3	101YM0800X	Mental Health Counselor
4	103TP2701X	Group Psychotherapy Psychologist
5	103T00000X	Psychologist
6	103TC2200X	Clinical Child & Adolescent Psychologist
7	103TC0700X	Clinical Psychologist
8	103TB0200X	Cognitive & Behavioral Psychologist
9	104100000X	Social Worker
10	171M00000X	Case Manager/Care Coordinator
11	261QM0855X	Adolescent and Children Mental Health Clinic/Center
12	101YP2500X	Professional Counselor
13	101YS0200X	School Counselor
14	106H00000X	Marriage & Family Therapist
15	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1063286649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVES LEGACY COUNSELING PLLC

Provider Business Mailing Address
First Line	:	204 MUIRS CHAPEL RD STE 328
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-6173
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	204 MUIRS CHAPEL RD STE 328
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-6173
Country	:	US
Telephone Number	:	336-860-4525
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRIA MCDANIEL-YOUNG
Credential	:	LCSW
Telephone Number	:	336-709-5251

Provider Enumeration Date	:	11/14/2023
Last Update Date	:	01/12/2026

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