Healthcare Provider Details

I. General information

NPI: 1063633410
Provider Name (Legal Business Name): CRAIG L LOVING LMFT, LAC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 11/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10754 BELLE CREEK BLVD SUITE 101
HENDERSON CO
80640-8968
US

IV. Provider business mailing address

10725 BOSTON ST
HENDERSON CO
80640-8968
US

V. Phone/Fax

Practice location:
  • Phone: 303-349-7398
  • Fax: 888-506-6078
Mailing address:
  • Phone: 303-349-7398
  • Fax: 888-506-6078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number202
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number746
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: