Provider Demographics
NPI:1649762303
Name:LINDA S JONES MS LLP PC
Entity Type:Organization
Organization Name:LINDA S JONES MS LLP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LLP/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LLP
Authorized Official - Phone:734-634-9363
Mailing Address - Street 1:17940 FARMINGTON RD STE 222
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-3185
Mailing Address - Country:US
Mailing Address - Phone:734-634-9363
Mailing Address - Fax:
Practice Address - Street 1:17940 FARMINGTON SUITE 222
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-3185
Practice Address - Country:US
Practice Address - Phone:
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-30
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301012925103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty