Provider Demographics
NPI:1790402592
Name:LOVEGROVE AND ASSOCIATES
Entity Type:Organization
Organization Name:LOVEGROVE AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:LOVEGROVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-202-0712
Mailing Address - Street 1:17 ALDEN RD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:MA
Mailing Address - Zip Code:02738-2116
Mailing Address - Country:US
Mailing Address - Phone:508-958-9634
Mailing Address - Fax:
Practice Address - Street 1:40 CHURCH AVE STE 203
Practice Address - Street 2:
Practice Address - City:WAREHAM
Practice Address - State:MA
Practice Address - Zip Code:02571-2093
Practice Address - Country:US
Practice Address - Phone:508-202-0712
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-21
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty