MEDICARE: JASMINE PRICE LCPC

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	LC8635	MD
2	374J00000X	Doula

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497166169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASMINE PRICE LCPC

Provider Business Mailing Address
First Line	:	124 PLEASANT DR
Second Line	:
City	:	ELIZABETH CITY
State	:	NC
Zip	:	27909-5174
Country	:	US
Telephone Number	:	202-375-1024
Fax Number	:

Provider Business Practice Location Address
First Line	:	11720 BELTSVILLE DR
Second Line	:
City	:	BELTSVILLE
State	:	MD
Zip	:	20705-3166
Country	:	US
Telephone Number	:	336-707-3487
Fax Number	:

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

Provider Enumeration Date	:	05/15/2014
Last Update Date	:	05/08/2026

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Directions to “ JASMINE PRICE LCPC” Practice Location

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