Provider Demographics
NPI:1962202333
Name:LOVELADY, MINDY ELIZABETH
Entity type:Individual
Prefix:
First Name:MINDY
Middle Name:ELIZABETH
Last Name:LOVELADY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761-3951
Mailing Address - Country:US
Mailing Address - Phone:563-770-0451
Mailing Address - Fax:
Practice Address - Street 1:2016 CEDAR PLAZA DR STE 1
Practice Address - Street 2:
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-2286
Practice Address - Country:US
Practice Address - Phone:563-770-0451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-15
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health