Provider Demographics
NPI:1164240933
Name:GOD LOVES YOU COUNSELING
Entity type:Organization
Organization Name:GOD LOVES YOU COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:MARLENE
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-881-3746
Mailing Address - Street 1:1101 MCCUTCHEN RD APT 4-206
Mailing Address - Street 2:
Mailing Address - City:ROLLA
Mailing Address - State:MO
Mailing Address - Zip Code:65401-2661
Mailing Address - Country:US
Mailing Address - Phone:443-881-3746
Mailing Address - Fax:
Practice Address - Street 1:317 E NORTH AVE APT 204
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-5991
Practice Address - Country:US
Practice Address - Phone:443-881-3746
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-01
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)