Provider Demographics
NPI:1518296524
Name:3S LOVE
Entity Type:Organization
Organization Name:3S LOVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:SSHARIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCFADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:MA NCLPC BOARD ELIG
Authorized Official - Phone:803-556-2274
Mailing Address - Street 1:3120 FLORAL GROVE LN APT 101
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216-6651
Mailing Address - Country:US
Mailing Address - Phone:803-556-2274
Mailing Address - Fax:
Practice Address - Street 1:3120 FLORAL GROVE LN APT 101
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216-6651
Practice Address - Country:US
Practice Address - Phone:803-556-2274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-22
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty