Provider Demographics
NPI:1346698594
Name:DAMES, JAI (LMFT, LAPC)
Entity Type:Individual
Prefix:
First Name:JAI
Middle Name:
Last Name:DAMES
Suffix:
Gender:F
Credentials:LMFT, LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4575 WEBB BRIDGE RD
Mailing Address - Street 2:#4911
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-4256
Mailing Address - Country:US
Mailing Address - Phone:404-596-5359
Mailing Address - Fax:
Practice Address - Street 1:5575 NORTH POINT PKWY, SUITE 205
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-3720
Practice Address - Country:US
Practice Address - Phone:404-596-5359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-27
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC005374101YM0800X
GALPC012573101YM0800X, 101YP2500X
GAMFT001578106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist