Provider Demographics
NPI:1366504367
Name:LOVELESS, DEBRA JEAN (EDS, LMHP)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:JEAN
Last Name:LOVELESS
Suffix:
Gender:F
Credentials:EDS, LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:POB 214
Mailing Address - Street 2:1023 10TH AVENUE
Mailing Address - City:SIDNEY
Mailing Address - State:NE
Mailing Address - Zip Code:69162
Mailing Address - Country:US
Mailing Address - Phone:308-254-0737
Mailing Address - Fax:308-254-6375
Practice Address - Street 1:1023 10TH AVENUE
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:NE
Practice Address - Zip Code:69162
Practice Address - Country:US
Practice Address - Phone:308-254-0737
Practice Address - Fax:308-254-6375
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3260101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE151493OtherMID AMERICA BENEFITS
NE254111OtherCIGNA BEHAVIORAL HEALTH
NE10025227700OtherCHILD WELFARE HEALTH AND HUMAN SERVICES
NE254111OtherMIDLANDS CHOICE
NE84018OtherBLUECROSS BLUESHIELD
NE100252227700OtherMAGELLAN BEHAVIORAL HEALTH SERVICES
NE10025227700OtherHEALTH AND HUMAN SERVICES
NE254111OtherAETNA
NE412053215002OtherCOVENTRY
NE10025227700Medicaid