Love's Basics Llc | |
3751 Pennridge Dr Ste 113 Bridgeton MO 63044-1244 | |
(314) 570-2862 | |
Not Available |
Full Name | Love's Basics Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 3751 Pennridge Dr Ste 113, Bridgeton, Missouri |
Authorized Official Name and Position | Latricia Buckner (COUNSELOR) |
Authorized Official Contact | 3145702862 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Love's Basics Llc 3751 Pennridge Dr Ste 113 Bridgeton MO 63044-1244 Ph: (314) 570-2862 | Love's Basics Llc 3751 Pennridge Dr Ste 113 Bridgeton MO 63044-1244 Ph: (314) 570-2862 |
NPI Number | 1205501947 |
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Provider Enumeration Date | 08/13/2021 |
Last Update Date | 08/13/2021 |
Certification Date | 08/13/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205501947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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