Provider Demographics
NPI:1922732247
Name:JONES- CARTER, JAMEKA (MS)
Entity Type:Individual
Prefix:
First Name:JAMEKA
Middle Name:
Last Name:JONES- CARTER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5159 OVERVIEW RDG
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38141-0251
Mailing Address - Country:US
Mailing Address - Phone:901-351-0548
Mailing Address - Fax:
Practice Address - Street 1:5159 OVERVIEW RDG
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38141-0251
Practice Address - Country:US
Practice Address - Phone:190-135-1054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional