Provider Demographics
NPI:1013582436
Name:LOVEDAY, SHARI AYANE (MA, LGMFT)
Entity Type:Individual
Prefix:
First Name:SHARI
Middle Name:AYANE
Last Name:LOVEDAY
Suffix:
Gender:F
Credentials:MA, LGMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4217 BEGONIA DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-4276
Mailing Address - Country:US
Mailing Address - Phone:347-232-4380
Mailing Address - Fax:
Practice Address - Street 1:4217 BEGONIA DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-4276
Practice Address - Country:US
Practice Address - Phone:240-245-5307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGM764106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist