Provider Demographics
NPI:1851261234
Name:LOVETT, PAYTON KEELY
Entity type:Individual
Prefix:
First Name:PAYTON
Middle Name:KEELY
Last Name:LOVETT
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 1:9201 N CENTRAL EXPY STE 160
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-3502
Mailing Address - Country:US
Mailing Address - Phone:214-851-1031
Mailing Address - Fax:
Practice Address - Street 1:13601 MIDWAY RD
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75244-4304
Practice Address - Country:US
Practice Address - Phone:214-851-1031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-10
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician