# LOVING LIFE THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619213832
- **Authorized official:** DR. YVONKA C. DE RIDDER PHD, LMFT (CEO)
- **Authorized official phone:** (813) 609-6946

## Contact information

- **Practice address:** 300 E MADISON ST, SUITE 201, TAMPA, FL 33602-4813
- **Practice address phone:** (813) 609-6946
- **Practice address fax:** (813) 609-6946
- **Mailing address:** 300 E MADISON ST, SUITE 201, TAMPA, FL 33602-4813
- **Mailing address phone:** (813) 609-6946
- **Mailing address fax:** (813) 609-6946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | IMT-1814 | FL | Yes |

## Other

- **Enumeration date:** 12/15/2012
- **Last updated:** 03/09/2017