Provider Demographics
NPI:1295908473
Name:LEMONS, JENINE SCOTT (MA)
Entity type:Individual
Prefix:
First Name:JENINE
Middle Name:SCOTT
Last Name:LEMONS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5340 WESLAYAN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77265-7601
Mailing Address - Country:US
Mailing Address - Phone:404-552-2403
Mailing Address - Fax:
Practice Address - Street 1:6020 DAWSON BLVD STE I
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-1259
Practice Address - Country:US
Practice Address - Phone:779-662-0249
Practice Address - Fax:770-449-5023
Is Sole Proprietor?:No
Enumeration Date:2008-04-08
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health