Provider Demographics
NPI:1326490327
Name:JENNA FLEMING COUNSELING, PLLC
Entity Type:Organization
Organization Name:JENNA FLEMING COUNSELING, PLLC
Other - Org Name:JENNA FLEMING COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:512-789-1402
Mailing Address - Street 1:314 COUNTY ROAD 261
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78633-6674
Mailing Address - Country:US
Mailing Address - Phone:512-789-1402
Mailing Address - Fax:
Practice Address - Street 1:3003 DAWN DR STE 108
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-2800
Practice Address - Country:US
Practice Address - Phone:512-789-1402
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-01
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty