MEDICARE: JENAI HACKETT LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1538941521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENAI HACKETT LPC

Provider Business Mailing Address
First Line	:	5375 SUGARLOAF PKWY APT 13208
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30043-7825
Country	:	US
Telephone Number	:	404-437-2614
Fax Number	:

Provider Business Practice Location Address
First Line	:	5375 SUGARLOAF PKWY APT 13208
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30043-7825
Country	:	US
Telephone Number	:	404-437-2614
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2023
Last Update Date	:	10/16/2023

Similar Medicare Providers

1891624094 — NICOLE VILLAMIL
Practice Location Address:

275 AVALON FOREST DR
LAWRENCEVILLE, GA
30044-7825

Practice Phone: 800-920-1927
Practice Fax:

1497591028 — CHARLENE SAMUELS
Practice Location Address:

1495 DULUTH HWY STE F
LAWRENCEVILLE, GA
30043-5143

Practice Phone: 321-352-9187
Practice Fax:

1366373649 — GIANINA WALKER
Practice Location Address:

2231 HUNTERS GREEN DR
LAWRENCEVILLE, GA
30043-5182

Practice Phone: 317-453-6323
Practice Fax:

1174454250 — JADAISHA HANNAM
Practice Location Address:

2387 HUNTCREST WAY
LAWRENCEVILLE, GA
30043-8126

Practice Phone: 678-648-7644
Practice Fax:

1326763582 — JI HO YANG
Practice Location Address:

1475 BUFORD DR
LAWRENCEVILLE, GA
30043-3719

Practice Phone: 770-822-6595
Practice Fax: 770-822-4484

1124959838 — LELIA GRACE ANDRADE
Practice Location Address:

5415 SUGARLOAF PKWY STE 2206
LAWRENCEVILLE, GA
30043-7832

Practice Phone: 770-676-0737
Practice Fax:

Directions to “ JENAI HACKETT LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.