Provider Demographics
NPI:1639713183
Name:LOVELESS, RICHARD LUKE JR
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:LUKE
Last Name:LOVELESS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3719 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-6034
Mailing Address - Country:US
Mailing Address - Phone:302-530-5135
Mailing Address - Fax:
Practice Address - Street 1:3719 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-6034
Practice Address - Country:US
Practice Address - Phone:302-530-5135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-28
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health