Provider Demographics
NPI:1912447368
Name:LOVELL, CASE (LMHC)
Entity type:Individual
Prefix:
First Name:CASE
Middle Name:
Last Name:LOVELL
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1904 3RD AVE STE 623
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1100
Mailing Address - Country:US
Mailing Address - Phone:206-309-5990
Mailing Address - Fax:
Practice Address - Street 1:1904 3RD AVE STE 623
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1100
Practice Address - Country:US
Practice Address - Phone:206-309-5990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-05
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60875123101YM0800X
WAMC60402674101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor