| With Great Love, Llc | |
|
1203 Us Highway 98 Ste 2a9 Daphne AL 36526-3901 | |
| (314) 920-1828 | |
| (251) 243-0984 |
| Full Name | With Great Love, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1203 Us Highway 98 Ste 2a9, Daphne, Alabama |
| Authorized Official Name and Position | Emily Tisdale (OWNER) |
| Authorized Official Contact | 3149201828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| With Great Love, Llc 1203 Us Highway 98 Ste 2a9 Daphne AL 36526-3901 Ph: (314) 920-1828 | With Great Love, Llc 1203 Us Highway 98 Ste 2a9 Daphne AL 36526-3901 Ph: (314) 920-1828 |
| NPI Number | 1033779608 |
|---|---|
| Provider Enumeration Date | 06/17/2019 |
| Last Update Date | 06/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033779608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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