Provider Demographics
NPI:1316183478
Name:LOVELACE, SARAH ALICIA (PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ALICIA
Last Name:LOVELACE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ALICIA
Other - Last Name:MAGRISSO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:41 PERIMETER CTR E STE 250
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30346-1902
Mailing Address - Country:US
Mailing Address - Phone:888-364-5977
Mailing Address - Fax:844-385-4629
Practice Address - Street 1:41 PERIMETER CTR E STE 250
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30346-1902
Practice Address - Country:US
Practice Address - Phone:888-364-5977
Practice Address - Fax:844-385-4629
Is Sole Proprietor?:No
Enumeration Date:2008-12-19
Last Update Date:2025-09-25
Deactivation Date:2020-11-30
Deactivation Code:
Reactivation Date:2022-11-01
Provider Licenses
StateLicense IDTaxonomies
GARN177614363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health