Healthcare Provider Details

I. General information

NPI: 1508777376
Provider Name (Legal Business Name): JELENA LANELL SEAY M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 WINDSOR AVE
AMERICUS GA
31709-3531
US

IV. Provider business mailing address

110 WINDSOR AVE
AMERICUS GA
31709-3531
US

V. Phone/Fax

Practice location:
  • Phone: 229-596-1199
  • Fax:
Mailing address:
  • Phone: 229-596-1199
  • Fax: 229-596-1200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: