Provider Demographics
NPI:1336674779
Name:LECOUNT, JAMIE (LPC, MAC, NCC)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:LECOUNT
Suffix:
Gender:F
Credentials:LPC, MAC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1162
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31402-1162
Mailing Address - Country:US
Mailing Address - Phone:912-604-3858
Mailing Address - Fax:
Practice Address - Street 1:106 SANDLEWOOD DR
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-2765
Practice Address - Country:US
Practice Address - Phone:912-604-3858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMAC 511250101YA0400X
GALPC009340101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)