Provider Demographics
NPI:1992454706
Name:LUVNFORGIVE COUNSELING AND CONSULTING SERVICES, PLLC
Entity type:Organization
Organization Name:LUVNFORGIVE COUNSELING AND CONSULTING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAWNN
Authorized Official - Middle Name:D
Authorized Official - Last Name:REALE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:726-203-2002
Mailing Address - Street 1:438 LEOPARD CLAW
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4091
Mailing Address - Country:US
Mailing Address - Phone:726-203-2002
Mailing Address - Fax:
Practice Address - Street 1:438 LEOPARD CLAW
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-4091
Practice Address - Country:US
Practice Address - Phone:726-203-2002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-20
Last Update Date:2022-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1457733776Medicaid