Provider Demographics
NPI:1386013282
Name:LOVE OVER CRISIS LLC
Entity Type:Organization
Organization Name:LOVE OVER CRISIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MAYS-COUCH
Authorized Official - Suffix:
Authorized Official - Credentials:CEO, LCSW, CDP
Authorized Official - Phone:470-228-1773
Mailing Address - Street 1:PO BOX 37
Mailing Address - Street 2:
Mailing Address - City:FARMVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23901-0037
Mailing Address - Country:US
Mailing Address - Phone:470-228-1773
Mailing Address - Fax:
Practice Address - Street 1:1839 THOMAS JEFFERSON HWY
Practice Address - Street 2:
Practice Address - City:CHARLOTTE COURT HOUSE
Practice Address - State:VA
Practice Address - Zip Code:23923-3818
Practice Address - Country:US
Practice Address - Phone:470-228-1773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-21
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAS5792554251B00000X
253Z00000X, 347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No347C00000XTransportation ServicesPrivate Vehicle