MEDICARE: JONES LIFESTYLE GROUP HOLDINGS LLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1790240018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JONES LIFESTYLE GROUP HOLDINGS LLC

Provider Business Mailing Address
First Line	:	5830 GRANITE PKWY # 100-378
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-6771
Country	:	US
Telephone Number	:	214-725-1838
Fax Number	:

Provider Business Practice Location Address
First Line	:	5830 GRANITE PKWY # 100-378
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-6771
Country	:	US
Telephone Number	:	214-725-1838
Fax Number	:

Authorized Official
Title or Position	:	OWNING MANAGING PARTNER
Name	:	STEVEN D JONES
Credential	:
Telephone Number	:	214-725-1838

Provider Enumeration Date	:	02/01/2019
Last Update Date	:	05/14/2026

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