Healthcare Provider Details

I. General information

NPI: 1841430527
Provider Name (Legal Business Name): LUNNS HOPE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2009
Last Update Date: 02/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

959 N LA BREA AVE
INGLEWOOD CA
90302-2207
US

IV. Provider business mailing address

959 N LA BREA AVE
INGLEWOOD CA
90302-2207
US

V. Phone/Fax

Practice location:
  • Phone: 310-677-1222
  • Fax: 310-677-1199
Mailing address:
  • Phone: 310-677-1222
  • Fax: 310-677-1199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: LOUIS NWEZE NWOKE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 310-677-1222