MEDICARE: LOVE LIFE THERAPY CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	104100000X	Social Worker
3	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1194427302
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVE LIFE THERAPY CENTER, LLC

Provider Business Mailing Address
First Line	:	1430 E FORT LOWELL RD STE 210
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-2366
Country	:	US
Telephone Number	:	520-484-4879
Fax Number	:	520-363-1743

Provider Business Practice Location Address
First Line	:	1430 E FORT LOWELL RD STE 210
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-2366
Country	:	US
Telephone Number	:	520-484-4879
Fax Number	:	520-363-1743

Authorized Official
Title or Position	:	OWNER/DIRECTOR
Name	:	ERIN ALYSSA LOWRY
Credential	:
Telephone Number	:	734-274-0154

Provider Enumeration Date	:	03/21/2023
Last Update Date	:	12/01/2025

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