| Love & Laughter | |
|
418 S Broadway Ave Ste 600 Tyler TX 75702-8101 | |
| (903) 705-7595 | |
| (903) 298-0076 |
| Full Name | Love & Laughter |
|---|---|
| Speciality | Counselor - Professional |
| Location | 418 S Broadway Ave Ste 600, Tyler, Texas |
| Authorized Official Name and Position | Kimberly Christine Fowler (PRESIDENT) |
| Authorized Official Contact | 9037057595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Love & Laughter 418 S Broadway Ave Ste 600 Tyler TX 75702-8101 Ph: (903) 705-7595 | Love & Laughter 418 S Broadway Ave Ste 600 Tyler TX 75702-8101 Ph: (903) 705-7595 |
| NPI Number | 1972050250 |
|---|---|
| Provider Enumeration Date | 09/05/2016 |
| Last Update Date | 09/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972050250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 65543 (Texas) | Primary |
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