| Doctor Name: | MS. LISA LYNNE LOVE |
| NPI Number: | 1164809190 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW LCSW CBIS |
| License Number: | 13189 |
| Business Practice Address: | 8128 Front Beach Rd Suite J Panama City Beach, FL - 324074886 |
| Business Phone Number: | 8502747299 |
| Business Fax Number: | |
| Mailing Address: | 3919 W 21st Pl, PANAMA CITY |
| State: | FL |
| Postal Code: | 324051428 |
| Phone Number: | 8502747299 |
| Fax Number: | |
| NPI Enumeration Date: | 04/28/2015 |
| NPI Last Update Date: | 10/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 13189 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |