=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922745793
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LOVE FREQUENCY COUNSELING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/13/2022
-----------------------------------------------------
Last Update Date | 05/13/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 430 RAILROAD AVE STE 208
-----------------------------------------------------
City | PITTSBURG
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94565-2238
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 925-405-9000
-----------------------------------------------------
Fax | 207-805-8254
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 430 RAILROAD AVE STE 208
-----------------------------------------------------
City | PITTSBURG
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94565-2238
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 925-405-9000
-----------------------------------------------------
Fax | 207-805-8254
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BILLING SERVICE
-----------------------------------------------------
Name | JOYCE M CYR
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 207-760-8244
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------