Provider Demographics
NPI:1790555456
Name:LOVATO, MICHAEL NORMAN (MA, LMHC, NCC)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:NORMAN
Last Name:LOVATO
Suffix:
Gender:M
Credentials:MA, LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 SUNWEST DR SW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87121-9433
Mailing Address - Country:US
Mailing Address - Phone:505-366-1898
Mailing Address - Fax:
Practice Address - Street 1:809 SUNWEST DR SW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87121-9433
Practice Address - Country:US
Practice Address - Phone:505-366-1898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCTB-2023-0937101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health