Provider Demographics
NPI:1851967673
Name:LOVE, JOHNIE ROGERS (MS, ALC)
Entity Type:Individual
Prefix:MS
First Name:JOHNIE
Middle Name:ROGERS
Last Name:LOVE
Suffix:
Gender:F
Credentials:MS, ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7007 POTSDAM CT
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-8028
Mailing Address - Country:US
Mailing Address - Phone:334-647-1009
Mailing Address - Fax:888-856-7677
Practice Address - Street 1:7007 POTSDAM CT
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-8028
Practice Address - Country:US
Practice Address - Phone:334-647-1009
Practice Address - Fax:888-856-7677
Is Sole Proprietor?:No
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC3047A101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional