Savannah Dominique Love | Santa Rosa, CA • PECOS Search

Savannah Dominique Love

Marriage & Family Therapist

Behavioral Health & Social Service Providers

101 Wikiup Dr, Santa Rosa, CA 95403-1375

(707) 545-2700 (916) 578-4539

PECOS Enrollment

Based on the most recent information from CMS, provider Savannah Dominique Love does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1538734918
Provider Type
Individual
Full Name
Love, Savannah Dominique
Credential
ASSOCIATE MFT/PCC

Gender
Female
Sole Proprietor
No
Enumeration Date
5/26/2021
Last Updated
12/14/2022

Contact Information

Practice Location

101 Wikiup Dr, Santa Rosa, CA 95403-1375

Unlisted Fax

Mailing Location

8945 Golf Links Rd, Oakland, CA 94605-4124

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 136371 California