Provider Demographics
NPI:1073387817
Name:2LUV1ANOTHER WEST
Entity Type:Organization
Organization Name:2LUV1ANOTHER WEST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:JENNINGS
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:562-726-0415
Mailing Address - Street 1:9214 BELMONT ST
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-5604
Mailing Address - Country:US
Mailing Address - Phone:562-726-0415
Mailing Address - Fax:602-609-3584
Practice Address - Street 1:9214 BELMONT ST
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-5604
Practice Address - Country:US
Practice Address - Phone:562-726-0415
Practice Address - Fax:602-609-3584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-13
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty