Provider Demographics
NPI:1902150899
Name:LOVEWORKS ACADEMY FOR VISUAL AND PERFORMING ARTS
Entity Type:Organization
Organization Name:LOVEWORKS ACADEMY FOR VISUAL AND PERFORMING ARTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRELINSHELIA
Authorized Official - Middle Name:ANTONETTE
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-522-6830
Mailing Address - Street 1:2225 ZENITH AVE N
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55422-3852
Mailing Address - Country:US
Mailing Address - Phone:763-522-6830
Mailing Address - Fax:763-522-6840
Practice Address - Street 1:2225 ZENITH AVE N
Practice Address - Street 2:
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55422-3852
Practice Address - Country:US
Practice Address - Phone:763-522-6830
Practice Address - Fax:763-522-6840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-31
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7435289251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)