Healthcare Provider Details

I. General information

NPI: 1033756515
Provider Name (Legal Business Name): LOVE FROM ABOVE L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2019
Last Update Date: 11/04/2021
Certification Date: 11/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3650 N RANCHO DR STE 106
LAS VEGAS NV
89130-3151
US

IV. Provider business mailing address

3650 N RANCHO DR STE 106
LAS VEGAS NV
89130-3151
US

V. Phone/Fax

Practice location:
  • Phone: 702-740-5683
  • Fax: 702-740-5684
Mailing address:
  • Phone: 702-740-5683
  • Fax: 702-740-5684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DARZELL STRINGER JR.
Title or Position: OWNER
Credential:
Phone: 702-606-8535