Provider Demographics
NPI:1629804752
Name:LOVELESS, COURTNEY (LPC-MHSP-S)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:
Last Name:LOVELESS
Suffix:
Gender:F
Credentials:LPC-MHSP-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:731 FOREST LAKE DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38117-5005
Mailing Address - Country:US
Mailing Address - Phone:901-338-6047
Mailing Address - Fax:
Practice Address - Street 1:5180 PARK AVE STE 230
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-3522
Practice Address - Country:US
Practice Address - Phone:901-338-6047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000003720101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health