Provider Demographics
NPI:1932127487
Name:LINDA E LOVE LCSW PC
Entity Type:Organization
Organization Name:LINDA E LOVE LCSW PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:E
Authorized Official - Last Name:LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:804-270-6807
Mailing Address - Street 1:PO BOX 782
Mailing Address - Street 2:
Mailing Address - City:SANDSTON
Mailing Address - State:VA
Mailing Address - Zip Code:23150-0782
Mailing Address - Country:US
Mailing Address - Phone:804-270-6807
Mailing Address - Fax:804-270-7661
Practice Address - Street 1:1601 ROLLING HILLS DR
Practice Address - Street 2:SUITE 201
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-5011
Practice Address - Country:US
Practice Address - Phone:804-270-6807
Practice Address - Fax:804-270-7661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC09359Medicare PIN