Provider Demographics
NPI:1609044429
Name:JONES, DENNIS (LPC)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:
Last Name:JONES
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2047 GEES MILL ROAD
Mailing Address - Street 2:SUITE 217
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013-1597
Mailing Address - Country:US
Mailing Address - Phone:678-614-8118
Mailing Address - Fax:678-882-3969
Practice Address - Street 1:696 MOUNT ZION RD
Practice Address - Street 2:STE. 7B
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-1597
Practice Address - Country:US
Practice Address - Phone:678-637-0947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-14
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC004397101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA558515422EMedicaid
GA558515422CMedicaid