Provider Demographics
NPI:1942608781
Name:AMIE LOWERY LUYTIES INC
Entity Type:Organization
Organization Name:AMIE LOWERY LUYTIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWERY LUYTIES
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:562-310-9741
Mailing Address - Street 1:600 E OCEAN BLVD STE 400B
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-5013
Mailing Address - Country:US
Mailing Address - Phone:562-310-9741
Mailing Address - Fax:888-746-6008
Practice Address - Street 1:600 E OCEAN BLVD STE 400B
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-5013
Practice Address - Country:US
Practice Address - Phone:562-310-9741
Practice Address - Fax:888-746-6008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-10
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41428101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty