| Kristy Love Counseling | |
|
390 Spruce Glen Dr Cordova TN 38018-7366 | |
| (901) 604-0307 | |
| Not Available |
| Full Name | Kristy Love Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 390 Spruce Glen Dr, Cordova, Tennessee |
| Authorized Official Name and Position | Kristy Devon Snipes (THERAPIST) |
| Authorized Official Contact | 9016040307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristy Love Counseling 390 Spruce Glen Dr Cordova TN 38018-7366 Ph: (901) 604-0307 | Kristy Love Counseling 390 Spruce Glen Dr Cordova TN 38018-7366 Ph: (901) 604-0307 |
| NPI Number | 1033798160 |
|---|---|
| Provider Enumeration Date | 04/06/2021 |
| Last Update Date | 04/06/2021 |
| Certification Date | 04/06/2021 |
| Medicare PECOS PAC ID | 9436541067 |
|---|---|
| Medicare Enrollment ID | O20220111002701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033798160 | NPI | - | NPPES |
| 1548803588 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kristy Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548803588 PECOS PAC ID: 6204264930 Enrollment ID: I20240412001127 |
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