Healthcare Provider Details

I. General information

NPI: 1841128394
Provider Name (Legal Business Name): JAMEYAH MARS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2346 WILLIAMWOOD LN
FAYETTEVILLE NC
28314-8914
US

IV. Provider business mailing address

8607 LOOKING GLASS RD
LINDEN NC
28356-9451
US

V. Phone/Fax

Practice location:
  • Phone: 910-659-9510
  • Fax:
Mailing address:
  • Phone: 910-703-0795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: