Provider Demographics
NPI:1881858306
Name:LOVE, AIMEE LAUREEN (LMHC, CSAC, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:LAUREEN
Last Name:LOVE
Suffix:
Gender:F
Credentials:LMHC, CSAC, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64-5191 KINOHOU ST
Mailing Address - Street 2:
Mailing Address - City:KAMUELA
Mailing Address - State:HI
Mailing Address - Zip Code:96743-8408
Mailing Address - Country:US
Mailing Address - Phone:808-937-1446
Mailing Address - Fax:808-885-7794
Practice Address - Street 1:64-5191 KINOHOU ST
Practice Address - Street 2:
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743-8408
Practice Address - Country:US
Practice Address - Phone:808-937-1446
Practice Address - Fax:808-885-7794
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI118101Y00000X
HI1216-04101YA0400X
CO3041101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional