Provider Demographics
NPI:1336964675
Name:LOVELL-SPEAR, SABRINA CRISTINA
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:CRISTINA
Last Name:LOVELL-SPEAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 ROAD 4
Mailing Address - Street 2:
Mailing Address - City:MORGANFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:42437-6783
Mailing Address - Country:US
Mailing Address - Phone:270-952-8826
Mailing Address - Fax:
Practice Address - Street 1:880 ALEXANDRIA PIKE STE 207
Practice Address - Street 2:
Practice Address - City:FORT THOMAS
Practice Address - State:KY
Practice Address - Zip Code:41075-2100
Practice Address - Country:US
Practice Address - Phone:606-669-1031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health