Provider Demographics
NPI:1134983828
Name:AJESSENTIAL SOLUTIONS
Entity type:Organization
Organization Name:AJESSENTIAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIALECTICAL BEHAVIOR COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED SPECIALIST
Authorized Official - Phone:469-693-3589
Mailing Address - Street 1:PO BOX 561107
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-6107
Mailing Address - Country:US
Mailing Address - Phone:469-630-1012
Mailing Address - Fax:
Practice Address - Street 1:2570 LAKE RIDGE RD APT 7218
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75056-4982
Practice Address - Country:US
Practice Address - Phone:469-693-3589
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELAN PILATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes405300000XOther Service ProvidersPrevention ProfessionalGroup - Multi-Specialty
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health