MEDICARE: JENAY NICOLE SINGLETARY LMHP-R

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	0701015872	VA

General Provider Information

NPI Number	:	1619713369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENAY NICOLE SINGLETARY LMHP-R

Provider Business Mailing Address
First Line	:	371 SEMINOLE TRL
Second Line	:
City	:	DANVILLE
State	:	VA
Zip	:	24540-1874
Country	:	US
Telephone Number	:	434-710-2137
Fax Number	:

Provider Business Practice Location Address
First Line	:	490 PINEY FOREST RD
Second Line	:
City	:	DANVILLE
State	:	VA
Zip	:	24540-4060
Country	:	US
Telephone Number	:	434-797-1094
Fax Number	:

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

Provider Enumeration Date	:	07/02/2024
Last Update Date	:	05/23/2026

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