Provider Demographics
NPI:1881360402
Name:SOVA, AIMEE CHRISTINE (LLMSW)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:CHRISTINE
Last Name:SOVA
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:AIMEE
Other - Middle Name:CHRISTINE
Other - Last Name:ROBLEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LLMSW
Mailing Address - Street 1:26038 WOODWARD AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48067-0914
Mailing Address - Country:US
Mailing Address - Phone:248-688-8091
Mailing Address - Fax:
Practice Address - Street 1:26038 WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-0914
Practice Address - Country:US
Practice Address - Phone:248-688-8091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6851110883101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty