Organization Active NPI

Love & Support Counseling and Consulting LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Vidalia, GA
National Provider Identifier
1326778069
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
LOVE & SUPPORT COUNSELING AND CONSULTING LLC
Practice address
206 Queen St Ste 4
Vidalia, GA 30474-4289
Phone
(478) 290-5329
Fax
(912) 403-3052
NPI assigned
Jun 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephanie Ivey
Title
Owner
Phone
(478) 290-5329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

206 Queen St Ste 4
Vidalia, GA 30474-4289

Mailing address

206 Queen St Ste 4
Vidalia, GA 30474-4289
Phone (478) 290-5329

National Provider Directory

National Provider Directory

Locations

206 Queen St
Ste 4
Vidalia, GA 30474
Phone (478) 290-5329

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1326778069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 QUEEN ST STE 4",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304744289",
            "telephone_number": "478-290-5329",
            "fax_number": "912-403-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 QUEEN ST STE 4",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304744289",
            "telephone_number": "478-290-5329",
            "fax_number": "912-403-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE & SUPPORT COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "IVEY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-290-5329"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidalia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.