Organization
LIVE LEARN HOPE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRISA LEE YOUNG (OWNER/ MANAGER)
(520) 771-7815
Entity
Organization
Contact information
Practice address
5551 34TH AVE S, MINNEAPOLIS, MN 55417-2117
(612) 217-7199
(612) 545-3368
Mailing address
940 E BROOKE PL, AVONDALE, AZ 85323-2439
(520) 771-7815
(612) 545-3368
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A478492500
—
MN
Enumeration date
01/19/2023
Last updated
01/19/2023
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