Provider Demographics
NPI:1215244579
Name:TRUE LOVE, LLC
Entity type:Organization
Organization Name:TRUE LOVE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:GIA
Authorized Official - Middle Name:NICHELLE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-305-9082
Mailing Address - Street 1:12850 HIGHWAY 9 N
Mailing Address - Street 2:STE. 600 #332
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-4231
Mailing Address - Country:US
Mailing Address - Phone:404-305-9082
Mailing Address - Fax:404-965-4114
Practice Address - Street 1:225 ARMAS PL
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30349-4823
Practice Address - Country:US
Practice Address - Phone:404-305-9082
Practice Address - Fax:404-965-4114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health