Provider Demographics
NPI:1992353973
Name:LOVE YOUR MIND INC
Entity type:Organization
Organization Name:LOVE YOUR MIND INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-742-5972
Mailing Address - Street 1:136 LA PADANIA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-5588
Mailing Address - Country:US
Mailing Address - Phone:702-742-5972
Mailing Address - Fax:
Practice Address - Street 1:2770 S MARYLAND PKWY STE 211
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-1565
Practice Address - Country:US
Practice Address - Phone:702-844-8107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-03
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)