Provider Demographics
NPI:1902187446
Name:WOLK, AIMEE (LMHC)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:WOLK
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8101 SW 24TH CT
Mailing Address - Street 2:APT 105
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-7714
Mailing Address - Country:US
Mailing Address - Phone:954-993-0080
Mailing Address - Fax:
Practice Address - Street 1:8101 SW 24TH CT
Practice Address - Street 2:APT 105
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33324-7714
Practice Address - Country:US
Practice Address - Phone:954-993-0080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-29
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9992101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health