Provider Demographics
NPI:1972258945
Name:LOVE, PAIGE (MA, LAMFT-T)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:LOVE
Suffix:
Gender:F
Credentials:MA, LAMFT-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20693 W VALLEY VIEW DR
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85396-1675
Mailing Address - Country:US
Mailing Address - Phone:813-449-1143
Mailing Address - Fax:
Practice Address - Street 1:700 E JEFFERSON ST STE 245
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85034-2204
Practice Address - Country:US
Practice Address - Phone:480-442-9660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAMFT-7062T106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist