Provider Demographics
NPI:1063552081
Name:LOVETT, BONNIE (MHR LPC UNDER SUPERV)
Entity type:Individual
Prefix:MS
First Name:BONNIE
Middle Name:
Last Name:LOVETT
Suffix:
Gender:F
Credentials:MHR LPC UNDER SUPERV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10325 GREENBRIAR PL STE B
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73159-7647
Mailing Address - Country:US
Mailing Address - Phone:405-378-3866
Mailing Address - Fax:405-759-3867
Practice Address - Street 1:10325 GREENBRIAR PL STE B
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159-7647
Practice Address - Country:US
Practice Address - Phone:405-378-3866
Practice Address - Fax:405-759-3867
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor