Love Resilence Counseling Inc. | |
1406 Gibson Ave Clovis CA 93611-1416 | |
(559) 545-6485 | |
Not Available |
Full Name | Love Resilence Counseling Inc. |
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Speciality | Marriage & Family Therapist |
Location | 1406 Gibson Ave, Clovis, California |
Authorized Official Name and Position | Brandy E Dickey (DIRECTOR) |
Authorized Official Contact | 5595456485 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Love Resilence Counseling Inc. 1406 Gibson Ave Clovis CA 93611-1416 Ph: (559) 545-6485 | Love Resilence Counseling Inc. 1406 Gibson Ave Clovis CA 93611-1416 Ph: (559) 545-6485 |
NPI Number | 1154192409 |
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Provider Enumeration Date | 01/15/2024 |
Last Update Date | 01/15/2024 |
Certification Date | 01/14/2024 |
Medicare PECOS PAC ID | 0941648158 |
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Medicare Enrollment ID | O20240408001716 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154192409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Provider Name | Brandy Eugena Dickey |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1730644543 PECOS PAC ID: 1850739061 Enrollment ID: I20240408001721 |
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