Provider Demographics
NPI:1801547799
Name:LOVE FROM ABOVE CRISIS CLINIC
Entity type:Organization
Organization Name:LOVE FROM ABOVE CRISIS CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARZELL
Authorized Official - Middle Name:
Authorized Official - Last Name:STRINGER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:702-740-4532
Mailing Address - Street 1:6150 TRANSVERSE DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-1167
Mailing Address - Country:US
Mailing Address - Phone:702-740-4532
Mailing Address - Fax:
Practice Address - Street 1:6150 TRANSVERSE DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-1167
Practice Address - Country:US
Practice Address - Phone:702-740-4532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health