Provider Demographics
NPI:1982221917
Name:MCGHEE, JASMINE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JASMINE
Middle Name:
Last Name:MCGHEE
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 1:2095 MANHATTAN PKWY
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30035-2252
Mailing Address - Country:US
Mailing Address - Phone:678-848-8477
Mailing Address - Fax:
Practice Address - Street 1:2095 MANHATTAN PKWY
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30035-2252
Practice Address - Country:US
Practice Address - Phone:678-848-8477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-25
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA010907101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty