Provider Demographics
NPI:1144605734
Name:LOVELACE COUNSELING SERVICES
Entity Type:Organization
Organization Name:LOVELACE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MISS
Authorized Official - First Name:DEVIN
Authorized Official - Middle Name:ELISE
Authorized Official - Last Name:LOVELACE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, LMHC, CAP
Authorized Official - Phone:850-380-9841
Mailing Address - Street 1:411 E GOVERNMENT ST
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32502-6131
Mailing Address - Country:US
Mailing Address - Phone:850-380-9841
Mailing Address - Fax:
Practice Address - Street 1:411 E GOVERNMENT ST
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32502-6131
Practice Address - Country:US
Practice Address - Phone:850-380-9841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-23
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center