MEDICARE: MR. WILLIAM JEFFERSON LOVETT JR. MMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1508677071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM JEFFERSON LOVETT JR. MMFT

Provider Business Mailing Address
First Line	:	1101 DOWNS BLVD APT 287
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37064-4007
Country	:	US
Telephone Number	:	615-306-0862
Fax Number	:

Provider Business Practice Location Address
First Line	:	117 4TH AVE N
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37064-2601
Country	:	US
Telephone Number	:	615-906-1129
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2025
Last Update Date	:	01/15/2025

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