Provider Demographics
NPI:1801286547
Name:JONES CONSULTATION & PSYCHOEDUCATIONAL SERVICES LLC
Entity type:Organization
Organization Name:JONES CONSULTATION & PSYCHOEDUCATIONAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MSW, LCSW
Authorized Official - Phone:480-717-2403
Mailing Address - Street 1:4140 E BASELINE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-4412
Mailing Address - Country:US
Mailing Address - Phone:480-717-2430
Mailing Address - Fax:
Practice Address - Street 1:4250 S KERBY WAY
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85249-3064
Practice Address - Country:US
Practice Address - Phone:480-717-2401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-03
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ126561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty