Provider Demographics
NPI:1548877319
Name:LIVING LOVED PATHWAYS TO HOLISTIC HEALING
Entity type:Organization
Organization Name:LIVING LOVED PATHWAYS TO HOLISTIC HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLOSSERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-375-4990
Mailing Address - Street 1:12334 CARL ST
Mailing Address - Street 2:
Mailing Address - City:PACOIMA
Mailing Address - State:CA
Mailing Address - Zip Code:91331-1467
Mailing Address - Country:US
Mailing Address - Phone:818-738-3201
Mailing Address - Fax:747-225-0696
Practice Address - Street 1:18719 CALVERT ST
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91335-6812
Practice Address - Country:US
Practice Address - Phone:818-798-3201
Practice Address - Fax:747-225-0696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-25
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty