MEDICARE: MS. KAMILAH JONES LPC

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	183500000X	Pharmacist	RPH022848	GA
2	101YP2500X	Professional Counselor	015421	GA
3	183500000X	Pharmacist	PS39339	FL

General Provider Information

NPI Number	:	1457509911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAMILAH JONES LPC

Provider Business Mailing Address
First Line	:	1700 NORTHSIDE DR NW STE A7
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-2695
Country	:	US
Telephone Number	:	404-981-4872
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 NORTHSIDE DR NW STE A7
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-2695
Country	:	US
Telephone Number	:	404-981-4872
Fax Number	:	470-592-3034

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

Provider Enumeration Date	:	09/08/2008
Last Update Date	:	04/21/2025

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