Provider Demographics
NPI:1578007365
Name:MEJIAS, JENNIFER TERINA (LMFT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:TERINA
Last Name:MEJIAS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5415 SUGARLOAF PKWY STE 2203
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-7832
Mailing Address - Country:US
Mailing Address - Phone:073-777-0676
Mailing Address - Fax:
Practice Address - Street 1:5415 SUGARLOAF PKWY STE 2203
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-7832
Practice Address - Country:US
Practice Address - Phone:073-777-0676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-13
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist