| Doctor Name: | LOVELACE KEMP |
| NPI Number: | 1104882158 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 002528 |
| Business Practice Address: | 300 Medical Dr Suite705 Penny Kemp, Lpc Lagrange, GA - 302404155 |
| Business Phone Number: | 7068850111 |
| Business Fax Number: | 7068850607 |
| Mailing Address: | 300 Medical Dr, Suite705 Penny Kemp, Lpc LAGRANGE |
| State: | GA |
| Postal Code: | 302404155 |
| Phone Number: | 7068850111 |
| Fax Number: | 7068850607 |
| NPI Enumeration Date: | 04/26/2006 |
| NPI Last Update Date: | 05/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 002528 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |