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NPI Code Detail

MEDICARE: ONE LOVE COUNSELING LLC

MEDICARE: ONE LOVE COUNSELING LLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician
2101YM0800XMental Health Counselor
3103T00000XPsychologist
4104100000XSocial Worker
51041C0700XClinical Social Worker

General Provider Information

NPI Number : 1407224215
Entity Type Code : Organization
Provider Name (Legal Business Name) : ONE LOVE COUNSELING LLC
Provider Business Mailing Address
First Line : 10 GLENLAKE PKWY STE 130
Second Line :
City : ATLANTA
State : GA
Zip : 30328-3495
Country : US
Telephone Number : 678-743-1045
Fax Number : 678-222-3401
Provider Business Practice Location Address
First Line : 10 GLENLAKE PKWY STE 130
Second Line :
City : ATLANTA
State : GA
Zip : 30328-3495
Country : US
Telephone Number : 678-743-1045
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : JASON ADKINS
Credential : LCSW
Telephone Number : 678-743-1045
Provider Enumeration Date : 09/10/2015
Last Update Date : 06/17/2020

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Directions to “ONE LOVE COUNSELING LLC ” Practice Location

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