Healthcare Provider Details

I. General information

NPI: 1386558724
Provider Name (Legal Business Name): JUELS COMMUNITY AND FAMILY WELLNESS SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14381 S JAMES MADISON HWY
DILLWYN VA
23936-2430
US

IV. Provider business mailing address

14087 W RIVER RD
PALMYRA VA
22963-5392
US

V. Phone/Fax

Practice location:
  • Phone: 434-981-0340
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: JUANITA ELAINE JACKSON
Title or Position: OWNER
Credential: LCPC
Phone: 434-981-0340