Provider Demographics
NPI:1245935857
Name:LOVE, HILARY LYNNE (MS, AMFT)
Entity type:Individual
Prefix:MS
First Name:HILARY
Middle Name:LYNNE
Last Name:LOVE
Suffix:
Gender:F
Credentials:MS, AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 PRINCETON AVE
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-3544
Mailing Address - Country:US
Mailing Address - Phone:646-483-7052
Mailing Address - Fax:
Practice Address - Street 1:300 TAMAL PLZ STE 280
Practice Address - Street 2:
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925-1136
Practice Address - Country:US
Practice Address - Phone:415-888-8087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA124802106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist