Provider Demographics
NPI:1841681665
Name:JONES, ROBERT LOUIS (LAPC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:LOUIS
Last Name:JONES
Suffix:
Gender:M
Credentials:LAPC
Other - Prefix:MR
Other - First Name:ROBERT
Other - Middle Name:LOUIS
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:1227 AUGUSTA WEST PKWY
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-6670
Mailing Address - Country:US
Mailing Address - Phone:706-399-3708
Mailing Address - Fax:
Practice Address - Street 1:1227 AUGUSTA WEST PKWY STE 5
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-6670
Practice Address - Country:US
Practice Address - Phone:706-399-3708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-16
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC008362101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional