Provider Demographics
NPI:1760759419
Name:LBV PARTNERS, INC
Entity Type:Organization
Organization Name:LBV PARTNERS, INC
Other - Org Name:MORNINGSIDE COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC, LAC
Authorized Official - Phone:310-422-9262
Mailing Address - Street 1:3216 W MANCHESTER BLVD
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90305-2320
Mailing Address - Country:US
Mailing Address - Phone:310-422-9262
Mailing Address - Fax:
Practice Address - Street 1:3216 W MANCHESTER BLVD
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90305-2320
Practice Address - Country:US
Practice Address - Phone:310-422-9262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-23
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care