| Love Dove Peace Kingdom Enterprises | |
|
16701 Melford Blvd Ste 400 Bowie MD 20715-4411 | |
| (443) 900-9957 | |
| Not Available |
| Full Name | Love Dove Peace Kingdom Enterprises |
|---|---|
| Speciality | Psychologist |
| Location | 16701 Melford Blvd Ste 400, Bowie, Maryland |
| Authorized Official Name and Position | Doveal Goins (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4439003101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Love Dove Peace Kingdom Enterprises 16701 Melford Blvd Ste 400 Bowie MD 20715-4411 Ph: (443) 900-3101 | Love Dove Peace Kingdom Enterprises 16701 Melford Blvd Ste 400 Bowie MD 20715-4411 Ph: (443) 900-9957 |
| NPI Number | 1013664671 |
|---|---|
| Provider Enumeration Date | 03/03/2022 |
| Last Update Date | 04/27/2022 |
| Certification Date | 04/27/2022 |
| Medicare PECOS PAC ID | 7113301524 |
|---|---|
| Medicare Enrollment ID | O20220902002665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013664671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Doveal Goins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518274588 PECOS PAC ID: 7719302538 Enrollment ID: I20220902002748 |
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