Provider Demographics
NPI:1497101695
Name:JJL CONSULTANTS LLC
Entity Type:Organization
Organization Name:JJL CONSULTANTS LLC
Other - Org Name:THUMB COAST COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:JOWETT-LEE
Authorized Official - Suffix:
Authorized Official - Credentials:CLMSW
Authorized Official - Phone:810-689-9899
Mailing Address - Street 1:309 HURON AVE STE B
Mailing Address - Street 2:
Mailing Address - City:PORT HURON
Mailing Address - State:MI
Mailing Address - Zip Code:48060-3869
Mailing Address - Country:US
Mailing Address - Phone:810-689-9899
Mailing Address - Fax:
Practice Address - Street 1:309 HURON AVE STE B
Practice Address - Street 2:
Practice Address - City:PORT HURON
Practice Address - State:MI
Practice Address - Zip Code:48060-3869
Practice Address - Country:US
Practice Address - Phone:810-689-9899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-06
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010590051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty