MEDICARE: ARRYN LOVELADY

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
2	101YP2500X	Professional Counselor	2780	KS

General Provider Information

NPI Number	:	1093970394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARRYN LOVELADY

Provider Business Mailing Address
First Line	:	121 S WHITTIER RD # 410
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67207-1064
Country	:	US
Telephone Number	:	316-691-2966
Fax Number	:

Provider Business Practice Location Address
First Line	:	121 S WHITTIER RD # 410
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67207-1064
Country	:	US
Telephone Number	:	316-691-2966
Fax Number	:

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

Provider Enumeration Date	:	07/25/2008
Last Update Date	:	08/28/2023

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Directions to “ ARRYN LOVELADY ” Practice Location

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