Provider Demographics
NPI:1508403395
Name:JONES, FELISHA ANN (LPC)
Entity Type:Individual
Prefix:
First Name:FELISHA
Middle Name:ANN
Last Name:JONES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5805 STATE BRIDGE RD STE G-106
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097-8220
Mailing Address - Country:US
Mailing Address - Phone:770-686-3232
Mailing Address - Fax:770-686-3233
Practice Address - Street 1:3966 S BOGAN RD
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-8633
Practice Address - Country:US
Practice Address - Phone:678-765-8276
Practice Address - Fax:770-686-3233
Is Sole Proprietor?:No
Enumeration Date:2019-11-29
Last Update Date:2019-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC009494101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional