Provider Demographics
NPI:1376305276
Name:LOVINS, TYLOR S (LMHCA)
Entity type:Individual
Prefix:
First Name:TYLOR
Middle Name:S
Last Name:LOVINS
Suffix:
Gender:M
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 1ST AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-1127
Mailing Address - Country:US
Mailing Address - Phone:360-217-9056
Mailing Address - Fax:
Practice Address - Street 1:2701 1ST AVE STE 120
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-1127
Practice Address - Country:US
Practice Address - Phone:360-217-9056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-25
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
WAMC61567471101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health