Provider Demographics
NPI:1013325760
Name:SEELMEYER, JAIME ALEXANDRA (MED, LPCC)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:ALEXANDRA
Last Name:SEELMEYER
Suffix:
Gender:F
Credentials:MED, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1718 DEERWOOD AVE
Mailing Address - Street 2:APT 1
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-1054
Mailing Address - Country:US
Mailing Address - Phone:502-641-9447
Mailing Address - Fax:
Practice Address - Street 1:1718 DEERWOOD AVE
Practice Address - Street 2:APT 1
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205
Practice Address - Country:US
Practice Address - Phone:502-641-9447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-25
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional