Provider Demographics
NPI:1952638843
Name:LOVE, LIGHT AND LIBERTY MINISTRIES
Entity Type:Organization
Organization Name:LOVE, LIGHT AND LIBERTY MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PASTOR/FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:CLINTON
Authorized Official - Middle Name:JONATHAN
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-587-2732
Mailing Address - Street 1:1425 K ST NW
Mailing Address - Street 2:SUITE 350
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-3500
Mailing Address - Country:US
Mailing Address - Phone:202-587-2732
Mailing Address - Fax:202-587-5601
Practice Address - Street 1:1425 K ST NW
Practice Address - Street 2:SUITE 350
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-3500
Practice Address - Country:US
Practice Address - Phone:202-587-2732
Practice Address - Fax:202-587-5601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-12
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC301442251S00000X, 251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable