Provider Demographics
NPI:1598542631
Name:HOVE, KAITLYN DENISE (LCMHCA)
Entity Type:Individual
Prefix:
First Name:KAITLYN
Middle Name:DENISE
Last Name:HOVE
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1921 N POINTE DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-2672
Mailing Address - Country:US
Mailing Address - Phone:984-204-1351
Mailing Address - Fax:984-538-0419
Practice Address - Street 1:1921 N POINTE DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-2672
Practice Address - Country:US
Practice Address - Phone:984-204-1351
Practice Address - Fax:984-538-0419
Is Sole Proprietor?:No
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA19197101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional