Organization
LOVELY BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOVELINE NGU (OWNER)
(651) 615-4042
Entity
Organization
Contact information
Practice address
2042 WOODDALE DR STE 250, WOODBURY, MN 55125-4421
(651) 615-4042
Mailing address
2042 WOODDALE DR STE 250, WOODBURY, MN 55125-4421
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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