Healthcare Provider Details

I. General information

NPI: 1508783853
Provider Name (Legal Business Name): ALISHA L LOVE LLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17515 W 9 MILE RD STE 755
SOUTHFIELD MI
48075-4422
US

IV. Provider business mailing address

18446 WESTHAMPTON AVE
SOUTHFIELD MI
48075-4116
US

V. Phone/Fax

Practice location:
  • Phone: 810-577-8133
  • Fax:
Mailing address:
  • Phone: 810-577-8133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451024724
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: