Provider Demographics
NPI:1053910968
Name:LOVEWORK, LLC
Entity type:Organization
Organization Name:LOVEWORK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIS
Authorized Official - Prefix:
Authorized Official - First Name:EYITAYO
Authorized Official - Middle Name:
Authorized Official - Last Name:ENITAN
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED CLINICAL SO
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?:Yes
Parent Organization LBN:NONE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty