Provider Demographics
NPI:1619008711
Name:K-LOVEJOY, INC
Entity Type:Organization
Organization Name:K-LOVEJOY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVEJOY-DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-716-5554
Mailing Address - Street 1:5140 S HYDE PARK BLVD
Mailing Address - Street 2:APT. 8A
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-4262
Mailing Address - Country:US
Mailing Address - Phone:773-667-6990
Mailing Address - Fax:773-667-6989
Practice Address - Street 1:5140 S HYDE PARK BLVD
Practice Address - Street 2:APT. 8A
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615-4262
Practice Address - Country:US
Practice Address - Phone:773-667-6990
Practice Address - Fax:773-667-6989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty