Provider Demographics
NPI:1679696058
Name:LOVETT, JAMES DALE (LPC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:DALE
Last Name:LOVETT
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5215 E 71ST ST
Mailing Address - Street 2:SUITE 1400
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-6341
Mailing Address - Country:US
Mailing Address - Phone:918-747-0155
Mailing Address - Fax:918-747-0159
Practice Address - Street 1:5215 E 71ST ST
Practice Address - Street 2:SUITE 1400
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-6341
Practice Address - Country:US
Practice Address - Phone:918-747-0155
Practice Address - Fax:918-747-0159
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3896101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional