Healthcare Provider Details

I. General information

NPI: 1043777006
Provider Name (Legal Business Name): LOVE LISTEN AND PLAY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2019
Last Update Date: 02/03/2023
Certification Date: 02/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 E ATHERTON ST STE 227B
LONG BEACH CA
90815-4018
US

IV. Provider business mailing address

2929 WESTMINSTER AVE UNIT 3191
SEAL BEACH CA
90740-9148
US

V. Phone/Fax

Practice location:
  • Phone: 562-386-5887
  • Fax:
Mailing address:
  • Phone: 562-386-5887
  • Fax: 562-264-1228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. ABIGAIL D ORTEGA
Title or Position: FOUNDER/THERAPIST
Credential: LCSW
Phone: 562-386-5887