Healthcare Provider Details

I. General information

NPI: 1649018649
Provider Name (Legal Business Name): BROOKLYNN JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2024
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 MARKET ST
STEUBENVILLE OH
43952-2153
US

IV. Provider business mailing address

30697 KING RD
SALEM OH
44460-9531
US

V. Phone/Fax

Practice location:
  • Phone: 740-314-5539
  • Fax: 740-314-5527
Mailing address:
  • Phone: 740-314-5539
  • Fax: 740-314-5527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2608086-TRNE
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: