Provider Demographics
NPI:1558083485
Name:KITCHEN, AIMEE (PLPC)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:KITCHEN
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 AURORA AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-3711
Mailing Address - Country:US
Mailing Address - Phone:504-338-5561
Mailing Address - Fax:
Practice Address - Street 1:433 METAIRIE RD STE 401
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-4343
Practice Address - Country:US
Practice Address - Phone:985-224-3414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-16
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8684101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor