Harold Love Counseling, PA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5886 Issued in FL

Legal business name

HAROLD LOVE COUNSELING, PA

Practice address

1455 S Ferdon Blvd
Suite D3
Crestview, FL 32536-4901

Phone

(850) 398-8662

Fax

(850) 398-8672

NPI assigned

Nov 12, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Harold E Love, LMHC5886

Title

President

Phone

(850) 398-8662

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1275906257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 S FERDON BLVD",
            "address_2": "SUITE D3",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325364901",
            "telephone_number": "850-398-8662",
            "fax_number": "850-398-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 S FERDON BLVD",
            "address_2": "SUITE D3",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325364901",
            "telephone_number": "850-398-8662",
            "fax_number": "850-398-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD LOVE COUNSELING, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-398-8662",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC5886"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "5886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI",
            "identifier": "1164639134",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.