Provider Demographics
NPI:1306335427
Name:LOVELESS, SUMMER SULLINS (LPC)
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:SULLINS
Last Name:LOVELESS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3838 NW 36TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-2916
Mailing Address - Country:US
Mailing Address - Phone:405-640-1266
Mailing Address - Fax:405-702-9031
Practice Address - Street 1:1016 NEWPORT AVE
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-2411
Practice Address - Country:US
Practice Address - Phone:405-640-1266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-03
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK10430101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional