Provider Demographics
NPI:1508877366
Name:LOVE-LOWRY, CHERYL (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:
Last Name:LOVE-LOWRY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 N MUSTANG PLANT RD TRLR 8
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73127-2964
Mailing Address - Country:US
Mailing Address - Phone:405-425-0496
Mailing Address - Fax:405-425-0315
Practice Address - Street 1:4400 N LINCOLN BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73105-5104
Practice Address - Country:US
Practice Address - Phone:405-425-0496
Practice Address - Fax:405-425-0315
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1478101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional