Provider Demographics
NPI:1609201573
Name:LOVE, KATHERINE B (LPC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:B
Last Name:LOVE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 COOLIDGE BLVD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2376
Mailing Address - Country:US
Mailing Address - Phone:337-347-6104
Mailing Address - Fax:
Practice Address - Street 1:803 COOLIDGE BLVD
Practice Address - Street 2:SUITE 107
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2376
Practice Address - Country:US
Practice Address - Phone:337-347-6104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4429101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional