Provider Demographics
NPI:1891166609
Name:JENKINS, ARTICA (LPC)
Entity Type:Individual
Prefix:
First Name:ARTICA
Middle Name:
Last Name:JENKINS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 BAGBY DR STE 210
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-3706
Mailing Address - Country:US
Mailing Address - Phone:205-400-4543
Mailing Address - Fax:205-449-0283
Practice Address - Street 1:85 BAGBY DR STE 210
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-3706
Practice Address - Country:US
Practice Address - Phone:205-400-4543
Practice Address - Fax:205-449-0283
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-19
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3423101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional