Love Community Behavioral Health Services Llc | |
112 Meadowcrest Dr Belleville IL 62221-6749 | |
(618) 550-5028 | |
Not Available |
Full Name | Love Community Behavioral Health Services Llc |
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Speciality | Community/behavioral Health |
Location | 112 Meadowcrest Dr, Belleville, Illinois |
Authorized Official Name and Position | Shirlisa Love (PSYCHIATRIC NURSE PRACTITIONER) |
Authorized Official Contact | 6185505028 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Love Community Behavioral Health Services Llc 112 Meadowcrest Dr Belleville IL 62221-6749 Ph: (618) 550-5028 | Love Community Behavioral Health Services Llc 112 Meadowcrest Dr Belleville IL 62221-6749 Ph: (618) 550-5028 |
NPI Number | 1457165136 |
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Provider Enumeration Date | 02/04/2025 |
Last Update Date | 02/04/2025 |
Certification Date | 02/04/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457165136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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