| Love Resilence Counseling Inc. | |
|
1406 Gibson Ave Clovis CA 93611-1416 | |
| (559) 545-6485 | |
| Not Available |
| Full Name | Love Resilence Counseling Inc. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 01/15/2024 |
| Certification Date | 01/14/2024 |
| Medicare PECOS PAC ID | 0941648158 |
|---|---|
| Medicare Enrollment ID | O20240408001716 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154192409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Brandy Eugena Dickey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730644543 PECOS PAC ID: 1850739061 Enrollment ID: I20240408001721 |
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