Provider Demographics
NPI:1104385863
Name:JOSEPH, LOVELYNE (PMHNP)
Entity type:Individual
Prefix:
First Name:LOVELYNE
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 ALTMORE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-2495
Mailing Address - Country:US
Mailing Address - Phone:678-426-2930
Mailing Address - Fax:404-256-2795
Practice Address - Street 1:1200 ALTMORE AVE STE 200
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-2495
Practice Address - Country:US
Practice Address - Phone:678-426-2930
Practice Address - Fax:404-256-2795
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-12
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN297387163W00000X
FLAPRN9391204363LF0000X
GAAPRN-NP297387363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily