Provider Demographics
NPI:1184305641
Name:AHMAD, JAMEELA OLEAN (LMSW)
Entity type:Individual
Prefix:
First Name:JAMEELA
Middle Name:OLEAN
Last Name:AHMAD
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 W WHEELER ST APT A
Mailing Address - Street 2:
Mailing Address - City:DYERSBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38024-3272
Mailing Address - Country:US
Mailing Address - Phone:731-334-7431
Mailing Address - Fax:
Practice Address - Street 1:439 MCGAUGHEY ST
Practice Address - Street 2:
Practice Address - City:DYERSBURG
Practice Address - State:TN
Practice Address - Zip Code:38024-3840
Practice Address - Country:US
Practice Address - Phone:731-325-5100
Practice Address - Fax:855-644-3624
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14360104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker