Provider Demographics
NPI:1023149887
Name:TOOKS-LOVE, LYNNETT YOLANDA (AMFT 97985)
Entity type:Individual
Prefix:MRS
First Name:LYNNETT
Middle Name:YOLANDA
Last Name:TOOKS-LOVE
Suffix:
Gender:F
Credentials:AMFT 97985
Other - Prefix:MRS
Other - First Name:LYNNETT
Other - Middle Name:YOLANDA
Other - Last Name:CRAIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AMFT 97985
Mailing Address - Street 1:1300 W 50TH ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90037
Mailing Address - Country:US
Mailing Address - Phone:323-508-9982
Mailing Address - Fax:424-272-9554
Practice Address - Street 1:566 S SAN PEDRO ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90013-2102
Practice Address - Country:US
Practice Address - Phone:213-627-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA97985106H00000X
CA199739164X00000X
CA137946106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No164X00000XNursing Service ProvidersLicensed Vocational Nurse