Provider Demographics
NPI:1578989604
Name:LOVEJOY, TAMMY (LAC, LPC)
Entity Type:Individual
Prefix:MS
First Name:TAMMY
Middle Name:
Last Name:LOVEJOY
Suffix:
Gender:F
Credentials:LAC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 MATISSE CIR
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-3868
Mailing Address - Country:US
Mailing Address - Phone:949-613-0657
Mailing Address - Fax:
Practice Address - Street 1:3500 S WADSWORTH BLVD STE 407
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80235-2053
Practice Address - Country:US
Practice Address - Phone:303-716-3326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-13
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0000085101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)