Provider Demographics
NPI:1700257227
Name:LOVELADY, CECILIA RAMONA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CECILIA
Middle Name:RAMONA
Last Name:LOVELADY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5933 BURNING SUNRISE DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78244-1293
Mailing Address - Country:US
Mailing Address - Phone:210-661-8041
Mailing Address - Fax:
Practice Address - Street 1:5933 BURNING SUNRISE DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78244-1293
Practice Address - Country:US
Practice Address - Phone:210-661-8041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-09
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70642101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional