Provider Demographics
NPI:1346974524
Name:LOVE, AMARIAH (MS, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:AMARIAH
Middle Name:
Last Name:LOVE
Suffix:
Gender:F
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:628 AVONDALE HILLS DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-5844
Mailing Address - Country:US
Mailing Address - Phone:678-667-1522
Mailing Address - Fax:
Practice Address - Street 1:628 AVONDALE HILLS DR
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-5844
Practice Address - Country:US
Practice Address - Phone:678-667-1522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC001640101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional