# JOHN LOVERN, LCSW, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306029392
- **Authorized official:** JOHN AARON LOVERN LCSW (OWNER)
- **Authorized official phone:** (504) 616-4064

## Contact information

- **Practice address:** 1186 FREMAUX AVE, SLIDELL, LA 70458-3538
- **Practice address phone:** (985) 643-5145
- **Mailing address:** 68164 MARION ST, MANDEVILLE, LA 70471-7822
- **Mailing address phone:** (504) 616-4064
- **Mailing address fax:** (985) 892-3999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 3267 | LA | Yes |

## Other

- **Enumeration date:** 12/12/2007
- **Last updated:** 12/12/2007