Provider Demographics
NPI:1376421792
Name:ANGELS WITH LOVING HEARTS LLC
Entity type:Organization
Organization Name:ANGELS WITH LOVING HEARTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TECHNICIAN
Authorized Official - Prefix:
Authorized Official - First Name:IGNACIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUGO
Authorized Official - Suffix:
Authorized Official - Credentials:RBT
Authorized Official - Phone:561-906-5996
Mailing Address - Street 1:2321 WABASSO DR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-6166
Mailing Address - Country:US
Mailing Address - Phone:561-906-5996
Mailing Address - Fax:
Practice Address - Street 1:2321 WABASSO DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6166
Practice Address - Country:US
Practice Address - Phone:561-906-5996
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty