Healthcare Provider Details

I. General information

NPI: 1275493926
Provider Name (Legal Business Name): TO LOVE ONE ANOTHER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2025
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 E CARSON PLAZA CT STE 104
CARSON CA
90746-3200
US

IV. Provider business mailing address

9322 W BONITOS RD
PHOENIX AZ
85037-6300
US

V. Phone/Fax

Practice location:
  • Phone: 562-726-0415
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State

VIII. Authorized Official

Name: SONYA JENNINGS
Title or Position: OWNER
Credential:
Phone: 562-726-0415