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General NPI Number Information
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NPI Number | 1093400095
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Entity Type | Organization
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Legal Business Name | LOVE THYSELF SOCIAL SERVICES
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Dates
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Enumeration Date | 04/06/2023
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Last Update Date | 04/06/2023
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Provider Practice Location Address
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Address Line | 2001 S. BARRINGTON AVE. STE. 215
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City | LA
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State | CA
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Zip | 90025
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Country | US
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Telephone | 855-588-7353
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Fax |
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Provider Business Mailing Address
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Address Line | 2211 4TH ST APT 203
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City | SANTA MONICA
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State | CA
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Zip | 90405-2361
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Country | US
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Telephone | 323-572-9923
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH PROFESSIONAL
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Name | KESIA CARTER
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Credential | LCSW
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Telephone | 323-572-9923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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