Provider Demographics
NPI:1912509969
Name:LOVE MATTERS, LLC
Entity Type:Organization
Organization Name:LOVE MATTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATRICE
Authorized Official - Middle Name:L
Authorized Official - Last Name:LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC, LPC
Authorized Official - Phone:803-331-7767
Mailing Address - Street 1:732 DIAL CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:SC
Mailing Address - Zip Code:29045-2003
Mailing Address - Country:US
Mailing Address - Phone:803-331-7767
Mailing Address - Fax:866-736-0574
Practice Address - Street 1:136 FORUM DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-7942
Practice Address - Country:US
Practice Address - Phone:803-251-9465
Practice Address - Fax:866-736-0574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-13
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCPC1506Medicaid