Individual
JUSTIN RAY LOVELADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
5700 MEXICO RD STE 8, SAINT PETERS, MO 63376-1667
(636) 447-6464
Mailing address
3945 WALSH ST, SAINT LOUIS, MO 63116-3369
(636) 485-0957
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2026004945
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2026004954
MO
Other
Enumeration date
02/02/2026
Last updated
05/13/2026
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