Healthcare Provider Details

I. General information

NPI: 1043104870
Provider Name (Legal Business Name): LIFE I LOVE SCHOOL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2025
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3221 HAMLINE AVE APT 1
OAKLAND CA
94602-1553
US

IV. Provider business mailing address

3221 HAMLINE AVE APT 1
OAKLAND CA
94602-1553
US

V. Phone/Fax

Practice location:
  • Phone: 864-671-9838
  • Fax:
Mailing address:
  • Phone: 864-671-9838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: CHASMIN MOSES
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 864-671-9838