| NPI | 1023509270 |
|---|---|
| Former Legal Business Name | LOVING LIFE THERAPY, LLC. |
| Entity Type | Organization |
| Authorized Contact | YVONKA DE RIDDER CEO/Founder 813-609-6946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |