Provider Demographics
NPI:1851029037
Name:LOVE ONE ANOTHER COMMUNITY DEVELOPMENT CENTER
Entity Type:Organization
Organization Name:LOVE ONE ANOTHER COMMUNITY DEVELOPMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MCGAHEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:615-424-2628
Mailing Address - Street 1:5100 LINBAR DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-5078
Mailing Address - Country:US
Mailing Address - Phone:615-424-2628
Mailing Address - Fax:
Practice Address - Street 1:5100 LINBAR DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-5078
Practice Address - Country:US
Practice Address - Phone:615-424-2628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty