Provider Demographics
NPI:1346892460
Name:LOVEJOY COUNSELING
Entity Type:Organization
Organization Name:LOVEJOY COUNSELING
Other - Org Name:BBI COLORADO
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BENNIE
Authorized Official - Middle Name:W
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, LPC, CTAP
Authorized Official - Phone:720-621-5944
Mailing Address - Street 1:12835 EAST ARAPAHOE
Mailing Address - Street 2:TOWER 2, SUITE 440
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112
Mailing Address - Country:US
Mailing Address - Phone:720-621-5944
Mailing Address - Fax:720-222-5109
Practice Address - Street 1:12835 EAST ARAPAHOE
Practice Address - Street 2:TOWER 2, SUITE 440
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112
Practice Address - Country:US
Practice Address - Phone:720-621-5944
Practice Address - Fax:720-222-5109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-09
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO33704210Medicaid