Individual ProviderHeather L LovelaceCounselorBehavioral Health & Social Service ProvidersPractice Address143 Pinehurst Dr, Springfield, IL 62704-3122(770) 283-9168PECOS EnrollmentBased on the most recent information from CMS, provider Heather L Lovelace does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1518311794Provider TypeIndividualFull NameLovelace, Heather LTitleMs.CredentialLCPCGenderFemaleSole ProprietorNoEnumeration Date4/14/2016Last Updated4/4/2024Contact InformationPractice LocationPractice Address143 Pinehurst Dr, Springfield, IL 62704-3122Phone(770) 283-9168FaxUnlisted FaxMailing LocationMailing Address143 Pinehurst Dr, Springfield, IL 62704-3122Phone(770) 283-9168FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense180013926IllinoisCode101YP2500XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense0701006545VirginiaProvider IdentifiersIDDescriptionIssuerID180013926DescriptionOtherIssuerLCPCIllinois