Healthcare Provider Details

I. General information

NPI: 1184371841
Provider Name (Legal Business Name): JENNIFER M GIFT MS, LCMHC, NCC, QP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2022
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 FEATHER AND TALE TRL
FAIRVIEW NC
28730-0320
US

IV. Provider business mailing address

6 BEAR TRL
FAIRVIEW NC
28730-8628
US

V. Phone/Fax

Practice location:
  • Phone: 919-623-3770
  • Fax:
Mailing address:
  • Phone: 919-623-3770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number16931
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: