Provider Demographics
NPI:1588100572
Name:LOVETT COUNSELING
Entity type:Organization
Organization Name:LOVETT COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVETT
Authorized Official - Suffix:
Authorized Official - Credentials:MED, NCC, LPC
Authorized Official - Phone:314-315-0334
Mailing Address - Street 1:774 PEBBLE LAKE DR
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63011-2862
Mailing Address - Country:US
Mailing Address - Phone:314-422-7847
Mailing Address - Fax:
Practice Address - Street 1:1855 BOWLES AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:FENTON
Practice Address - State:MO
Practice Address - Zip Code:63026-1900
Practice Address - Country:US
Practice Address - Phone:314-315-0334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-13
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014034535101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty