Provider Demographics
NPI:1851934319
Name:PATRICIA LOVELACE AND ASSOCIATES INC
Entity Type:Organization
Organization Name:PATRICIA LOVELACE AND ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVELACE LAPAGE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:630-368-0607
Mailing Address - Street 1:900 JORIE BLVD STE 234
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-3841
Mailing Address - Country:US
Mailing Address - Phone:630-368-0607
Mailing Address - Fax:
Practice Address - Street 1:900 JORIE BLVD STE 234
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-3841
Practice Address - Country:US
Practice Address - Phone:630-368-0607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-28
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health