Provider Demographics
NPI:1336865401
Name:LOVING ANGELS BEHAVIOR SERVICES LLC
Entity Type:Organization
Organization Name:LOVING ANGELS BEHAVIOR SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROSBEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ MENESES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-553-3004
Mailing Address - Street 1:5200 NW 183RD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33055-2302
Mailing Address - Country:US
Mailing Address - Phone:786-553-3004
Mailing Address - Fax:
Practice Address - Street 1:5200 NW 183RD ST
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33055-2302
Practice Address - Country:US
Practice Address - Phone:786-553-3004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty