Healthcare Provider Details

I. General information

NPI: 1255313227
Provider Name (Legal Business Name): JOCELYN DAE LOVETT PFMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2005
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7230 HERITAGE VILLAGE PLZ STE 202
GAINESVILLE VA
20155-3054
US

IV. Provider business mailing address

6116 CLUBHOUSE DR
TRUSSVILLE AL
35173-3621
US

V. Phone/Fax

Practice location:
  • Phone: 703-754-0636
  • Fax:
Mailing address:
  • Phone: 307-286-3981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0717001258
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: