Provider Demographics
NPI:1255092854
Name:MCKINNEY, JAMILA (MA LPC-A)
Entity type:Individual
Prefix:
First Name:JAMILA
Middle Name:
Last Name:MCKINNEY
Suffix:
Gender:F
Credentials:MA LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2008 MORGAN CT
Mailing Address - Street 2:
Mailing Address - City:MELISSA
Mailing Address - State:TX
Mailing Address - Zip Code:75454-0767
Mailing Address - Country:US
Mailing Address - Phone:214-471-6454
Mailing Address - Fax:
Practice Address - Street 1:2008 MORGAN CT
Practice Address - Street 2:
Practice Address - City:MELISSA
Practice Address - State:TX
Practice Address - Zip Code:75454-0767
Practice Address - Country:US
Practice Address - Phone:214-471-6454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-05
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87682101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health