Healthcare Provider Details

I. General information

NPI: 1447908165
Provider Name (Legal Business Name): THERAPYLUV, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2022
Last Update Date: 04/26/2023
Certification Date: 04/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 S LAKESHORE DR STE 415
TEMPE AZ
85282-7056
US

IV. Provider business mailing address

4500 S LAKESHORE DR STE 415
TEMPE AZ
85282-7056
US

V. Phone/Fax

Practice location:
  • Phone: 520-352-7924
  • Fax:
Mailing address:
  • Phone: 520-352-7924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: LINDSAY ALLISON LOVE
Title or Position: OWNER AND OPERATOR
Credential: LCSW
Phone: 520-352-7924