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General NPI Number Information
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NPI Number | 1811656226
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Entity Type | Organization
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Legal Business Name | JAYLEE AWAKENED MINISTRIES, LLC
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Dates
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Enumeration Date | 12/13/2021
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 169 E REYNOLDS RD STE 101
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City | LEXINGTON
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State | KY
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Zip | 40517-1270
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Country | US
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Telephone | 859-279-2949
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Fax | 502-323-0749
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Provider Business Mailing Address
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Address Line | 169 E REYNOLDS RD STE 100A
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City | LEXINGTON
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State | KY
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Zip | 40517-1272
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Country | US
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Telephone | 859-279-2949
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Fax | 502-323-0749
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Authorized Official
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Title or Position | OWNER AND THERAPIST
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Name | JAYLEE CUNNINGHAM
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Credential | MA, LMFT
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Telephone | 859-279-2949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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