Provider Demographics
NPI:1811405129
Name:AYOUBI, JAMILA (LCMHC, LCASA)
Entity Type:Individual
Prefix:
First Name:JAMILA
Middle Name:
Last Name:AYOUBI
Suffix:
Gender:F
Credentials:LCMHC, LCASA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 N WILLIAM ST STE 108
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27530-2802
Mailing Address - Country:US
Mailing Address - Phone:919-298-2762
Mailing Address - Fax:919-300-8041
Practice Address - Street 1:400 N WILLIAM ST STE 108
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27530-2802
Practice Address - Country:US
Practice Address - Phone:919-298-2762
Practice Address - Fax:919-300-8041
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-21
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-26424101YA0400X
NC15838101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)