Provider Demographics
NPI:1437483658
Name:LOVETT, KELLY ANNE (MA, LCMHC)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:ANNE
Last Name:LOVETT
Suffix:
Gender:F
Credentials:MA, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 FULTON ST
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-6409
Mailing Address - Country:US
Mailing Address - Phone:603-809-0505
Mailing Address - Fax:
Practice Address - Street 1:12 MURPHY DR STE 113
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-1935
Practice Address - Country:US
Practice Address - Phone:781-581-4400
Practice Address - Fax:781-592-0581
Is Sole Proprietor?:No
Enumeration Date:2009-09-21
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2325101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health