Provider Demographics
NPI:1881464980
Name:REED, JENNY MEAD (LMFT, LPC)
Entity type:Individual
Prefix:MRS
First Name:JENNY
Middle Name:MEAD
Last Name:REED
Suffix:
Gender:F
Credentials:LMFT, LPC
Other - Prefix:MRS
Other - First Name:JENNY
Other - Middle Name:MEAD BOLEY
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT, LPC
Mailing Address - Street 1:102 MACY DR
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-6329
Mailing Address - Country:US
Mailing Address - Phone:678-534-3824
Mailing Address - Fax:
Practice Address - Street 1:102 MACY DR
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-6329
Practice Address - Country:US
Practice Address - Phone:678-534-3824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA010595101YP2500X
GA001755101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional