Provider Demographics
NPI:1598451916
Name:FELDER-JONES, SKYTINA ROSHELLE (LMHC)
Entity Type:Individual
Prefix:DR
First Name:SKYTINA
Middle Name:ROSHELLE
Last Name:FELDER-JONES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 YEARLING CT
Mailing Address - Street 2:
Mailing Address - City:LUDOWICI
Mailing Address - State:GA
Mailing Address - Zip Code:31316-7862
Mailing Address - Country:US
Mailing Address - Phone:478-508-8677
Mailing Address - Fax:
Practice Address - Street 1:124 YEARLING CT
Practice Address - Street 2:
Practice Address - City:LUDOWICI
Practice Address - State:GA
Practice Address - Zip Code:31316-7862
Practice Address - Country:US
Practice Address - Phone:478-508-8677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA61048804101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health