Provider Demographics
NPI:1306270053
Name:LOVE, LAKEESHA SHANA (LPC)
Entity type:Individual
Prefix:MS
First Name:LAKEESHA
Middle Name:SHANA
Last Name:LOVE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1439 MCLENDON DR STE E
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-1849
Mailing Address - Country:US
Mailing Address - Phone:703-340-9527
Mailing Address - Fax:
Practice Address - Street 1:1439 MCLENDON DR STE E
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-1849
Practice Address - Country:US
Practice Address - Phone:703-340-9527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-29
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC006861101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional