Provider Demographics
NPI:1053062554
Name:LOVE YOUR MIND MENTAL HEALTH COUNSELING, PLLC
Entity Type:Organization
Organization Name:LOVE YOUR MIND MENTAL HEALTH COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISET
Authorized Official - Middle Name:M
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:917-974-5892
Mailing Address - Street 1:444 E BOSTON POST RD STE 206C
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-3704
Mailing Address - Country:US
Mailing Address - Phone:917-974-5892
Mailing Address - Fax:347-348-0678
Practice Address - Street 1:444 E BOSTON POST RD STE 206C
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-3704
Practice Address - Country:US
Practice Address - Phone:917-974-5892
Practice Address - Fax:347-348-0678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-16
Last Update Date:2022-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty