Healthcare Provider Details

I. General information

NPI: 1306921507
Provider Name (Legal Business Name): LANA J. JONES, L.P.C., N.C.C., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 WHITESPORT DR SW SUITE 1
HUNTSVILLE AL
35801-6484
US

IV. Provider business mailing address

2941 POINT MALLARD PKWY SE SUITE A116
DECATUR AL
35603-5716
US

V. Phone/Fax

Practice location:
  • Phone: 256-883-7031
  • Fax: 256-883-7032
Mailing address:
  • Phone: 256-883-7031
  • Fax: 256-883-7032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1658
License Number StateAL

VIII. Authorized Official

Name: LANA J JONES
Title or Position: OWNER
Credential: L.P.C.
Phone: 256-883-7031