Provider Demographics
NPI:1295285039
Name:LOVEWELL, INC.
Entity type:Organization
Organization Name:LOVEWELL, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:ULLERUP
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:828-777-3755
Mailing Address - Street 1:70 WOODFIN PL
Mailing Address - Street 2:SUITE #021
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2463
Mailing Address - Country:US
Mailing Address - Phone:828-777-3755
Mailing Address - Fax:828-225-2531
Practice Address - Street 1:70 WOODFIN PL
Practice Address - Street 2:SUITE #021
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2463
Practice Address - Country:US
Practice Address - Phone:828-777-3755
Practice Address - Fax:828-225-2531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-05
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0000261QM0801X, 261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)