Organization
MOCHA ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL LOVETT RN, IBCLC (MANAGER)
(304) 982-1495
Entity
Organization
Contact information
Practice address
1201 GROSSCUP AVE UNIT 822, DUNBAR, WV 25064-4239
(304) 988-5905
Mailing address
1201 GROSSCUP AVE UNIT 822, DUNBAR, WV 25064-4239
(304) 988-5905
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
163WG0000X
General Practice Registered Nurse
Primary
—
—
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
163WM0102X
Maternal Newborn Registered Nurse
—
—
163WP1700X
Perinatal Registered Nurse
—
—
374J00000X
Doula
—
—
Other
Enumeration date
03/18/2026
Last updated
03/25/2026
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