MEDICARE: DR. JIHENE AYADI PHD, LPC, CPCS, ACS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	011333	GA
2	101Y00000X	Counselor	11685	SC

General Provider Information

NPI Number	:	1326786724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JIHENE AYADI PHD, LPC, CPCS, ACS

Provider Business Mailing Address
First Line	:	3740 WALTON WAY EXT
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30907-2417
Country	:	US
Telephone Number	:	706-842-8680
Fax Number	:

Provider Business Practice Location Address
First Line	:	3740 WALTON WAY EXT
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30907-2417
Country	:	US
Telephone Number	:	706-842-8680
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2022
Last Update Date	:	02/05/2026

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