Provider Demographics
NPI:1023658648
Name:VAUGHN, AIMEE (LPCC-S)
Entity type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:
Last Name:VAUGHN
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 30643
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-0011
Mailing Address - Country:US
Mailing Address - Phone:931-240-0897
Mailing Address - Fax:
Practice Address - Street 1:3452 HEATHERWOOD TRCE
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-5735
Practice Address - Country:US
Practice Address - Phone:931-802-4289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-11
Last Update Date:2020-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY171465101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health