Provider Demographics
NPI:1013798487
Name:LOVE YOURSELF THERAPY
Entity Type:Organization
Organization Name:LOVE YOURSELF THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORENA
Authorized Official - Middle Name:
Authorized Official - Last Name:GINN
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:606-584-6213
Mailing Address - Street 1:1675 E KY 8
Mailing Address - Street 2:
Mailing Address - City:VANCEBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41179-7769
Mailing Address - Country:US
Mailing Address - Phone:606-584-6214
Mailing Address - Fax:
Practice Address - Street 1:1675 E KY 8
Practice Address - Street 2:
Practice Address - City:VANCEBURG
Practice Address - State:KY
Practice Address - Zip Code:41179-7769
Practice Address - Country:US
Practice Address - Phone:606-584-6214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-11
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty