Provider Demographics
NPI:1518327428
Name:LOVICE, MALLORY (MS, LPCA)
Entity Type:Individual
Prefix:MRS
First Name:MALLORY
Middle Name:
Last Name:LOVICE
Suffix:
Gender:F
Credentials:MS, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 BILTMORE AVE STE 5D
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4538
Mailing Address - Country:US
Mailing Address - Phone:828-281-2299
Mailing Address - Fax:828-281-2299
Practice Address - Street 1:417 BILTMORE AVE STE 5D
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4538
Practice Address - Country:US
Practice Address - Phone:828-281-2299
Practice Address - Fax:828-281-2299
Is Sole Proprietor?:No
Enumeration Date:2016-03-04
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA12177101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health