Provider Demographics
NPI:1609354554
Name:LOVELACE, KRISTEN VREE (LCMHCA)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:VREE
Last Name:LOVELACE
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:VREE
Other - Last Name:PEARCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:60 LIVINGSTON ST STE 100
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4400
Mailing Address - Country:US
Mailing Address - Phone:704-832-2200
Mailing Address - Fax:828-236-9825
Practice Address - Street 1:507 COURTHOUSE DR
Practice Address - Street 2:
Practice Address - City:WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28697
Practice Address - Country:US
Practice Address - Phone:336-667-3333
Practice Address - Fax:336-667-8749
Is Sole Proprietor?:No
Enumeration Date:2018-08-02
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA14217101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health