Provider Demographics
NPI:1831680685
Name:LOVETT, KAELI B (CDCA)
Entity Type:Individual
Prefix:MRS
First Name:KAELI
Middle Name:B
Last Name:LOVETT
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:KAELI
Other - Middle Name:B
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:294 N FAIR AVE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-4222
Mailing Address - Country:US
Mailing Address - Phone:513-869-3477
Mailing Address - Fax:
Practice Address - Street 1:294 N FAIR AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-4222
Practice Address - Country:US
Practice Address - Phone:513-896-3477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-27
Last Update Date:2018-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH167295101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)