Jlh Counseling, Llc | |
830 N Ouida St Enterprise AL 36330-2704 | |
(334) 475-2422 | |
(334) 475-2760 |
Full Name | Jlh Counseling, Llc |
---|---|
Speciality | Counselor |
Location | 830 N Ouida St, Enterprise, Alabama |
Authorized Official Name and Position | Jennie L. Holmes (PRESIDENT/SOLE MEMBER) |
Authorized Official Contact | 3344471847 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jlh Counseling, Llc 830 N Ouida St Enterprise AL 36330-2704 Ph: (334) 447-1847 | Jlh Counseling, Llc 830 N Ouida St Enterprise AL 36330-2704 Ph: (334) 475-2422 |
NPI Number | 1811129059 |
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Provider Enumeration Date | 08/21/2009 |
Last Update Date | 05/09/2024 |
Certification Date | 05/09/2024 |
Medicare PECOS PAC ID | 3274979257 |
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Medicare Enrollment ID | O20240313000504 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811129059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 13986 (Alabama) | Primary |
Provider Name | Jennie L. Holmes |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1417188756 PECOS PAC ID: 4183060163 Enrollment ID: I20240313002521 |
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