Organization Active NPI

Love Your Life, LLC

  • Primary Care Clinic/Center
  • Denham Springs, LA
National Provider Identifier
1902276777
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
026311 Issued in LA
Legal business name
LOVE YOUR LIFE, LLC
Practice address
1234 Del Este Ave
Suite 101
Denham Springs, LA 70726-4828
Phone
(225) 667-5454
NPI assigned
Oct 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tammy Mayo, MD
Title
Ceo
Phone
(225) 667-5454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 026311 LA Primary

Addresses

Primary practice location

1234 Del Este Ave
Suite 101
Denham Springs, LA 70726-4828

Mailing address

4336 North Blvd
Ste 104
Baton Rouge, LA 70806-3920
Phone (225) 364-7767

National Provider Directory

National Provider Directory

Locations

4336 North Blvd
Ste 104
Baton Rouge, LA 70806
Phone (225) 960-7419

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1902276777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4336 NORTH BLVD",
            "address_2": "STE 104",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063920",
            "telephone_number": "225-364-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 DEL ESTE AVE",
            "address_2": "SUITE 101",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264828",
            "telephone_number": "225-667-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE YOUR LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-667-5454",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "026311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.