| Harold J Love, Pllc | |
|
16250 Northland Dr Ste 204 Southfield MI 48075-5226 | |
| (248) 599-7522 | |
| (248) 599-7522 |
| Full Name | Harold J Love, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 16250 Northland Dr Ste 204, Southfield, Michigan |
| Authorized Official Name and Position | Harold J Love (COUNSELOR) |
| Authorized Official Contact | 2485997522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harold J Love, Pllc 16250 Northland Dr Ste 204 Southfield MI 48075-5226 Ph: (248) 599-7522 | Harold J Love, Pllc 16250 Northland Dr Ste 204 Southfield MI 48075-5226 Ph: (248) 599-7522 |
| NPI Number | 1346729811 |
|---|---|
| Provider Enumeration Date | 08/07/2018 |
| Last Update Date | 08/07/2018 |
| Medicare PECOS PAC ID | 5193076511 |
|---|---|
| Medicare Enrollment ID | O20240501003424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346729811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401014178 (Michigan) | Primary |
| Provider Name | Kenneth Gardner |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1821559576 PECOS PAC ID: 3173865474 Enrollment ID: I20190508000092 |
| Provider Name | Harold Jerome Love |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821493404 PECOS PAC ID: 0648529552 Enrollment ID: I20240501003484 |
| Provider Name | Anetra Gaines |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063163525 PECOS PAC ID: 5890235436 Enrollment ID: I20240910000600 |
| Provider Name | Wayne L Groves |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326629452 PECOS PAC ID: 8628519683 Enrollment ID: I20240918002888 |
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