Provider Demographics
NPI:1649247867
Name:ELLIOTT, JO ANN REEVES (LPC, LMHC)
Entity type:Individual
Prefix:MS
First Name:JO ANN
Middle Name:REEVES
Last Name:ELLIOTT
Suffix:
Gender:F
Credentials:LPC, LMHC
Other - Prefix:MS
Other - First Name:JO
Other - Middle Name:ANN
Other - Last Name:ELLIOTT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC, LPC
Mailing Address - Street 1:956 MONTCLAIR ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35213
Mailing Address - Country:US
Mailing Address - Phone:205-949-4540
Mailing Address - Fax:
Practice Address - Street 1:956 MONTCLAIR ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35213
Practice Address - Country:US
Practice Address - Phone:205-949-4540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8187101YP2500X
AL2602101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional