Provider Demographics
NPI:1154938975
Name:LOVEWORK, LLC
Entity type:Organization
Organization Name:LOVEWORK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:EYITAYO
Authorized Official - Middle Name:
Authorized Official - Last Name:ENITAN
Authorized Official - Suffix:
Authorized Official - Credentials:CLINICAL LICENSE SOC
Authorized Official - Phone:443-761-9773
Mailing Address - Street 1:2352 EUTAW PL APT 3
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21217-4084
Mailing Address - Country:US
Mailing Address - Phone:443-761-9773
Mailing Address - Fax:
Practice Address - Street 1:2352 EUTAW PL APT 3
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21217-4084
Practice Address - Country:US
Practice Address - Phone:443-761-9773
Practice Address - Fax:
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?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)