Provider Demographics
NPI:1083080592
Name:LOVELADY, BARBARA RAY (MSW, LCSW, LCAS, CSI)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:RAY
Last Name:LOVELADY
Suffix:
Gender:F
Credentials:MSW, LCSW, LCAS, CSI
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:RAY
Other - Last Name:HARVIALA RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW, LCASA
Mailing Address - Street 1:3710 SHANNON RD UNIT 52054
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27717-0750
Mailing Address - Country:US
Mailing Address - Phone:919-612-1213
Mailing Address - Fax:919-287-2245
Practice Address - Street 1:1415 W NC HIGHWAY 54 # SUI
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-5577
Practice Address - Country:US
Practice Address - Phone:919-612-1213
Practice Address - Fax:919-287-2245
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-19
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0119811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical