Healthcare Provider Details

I. General information

NPI: 1700423423
Provider Name (Legal Business Name): AMY CATHLEEN EAREHART LOVELACE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2019
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S TYLER ST STE 208-A
COVINGTON LA
70433-3036
US

IV. Provider business mailing address

5449 W END BLVD
NEW ORLEANS LA
70124-1847
US

V. Phone/Fax

Practice location:
  • Phone: 985-400-9552
  • Fax:
Mailing address:
  • Phone: 225-270-0712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8042
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: