Provider Demographics
NPI:1952567836
Name:JONES, BEVERLY MARIE (LPC)
Entity Type:Individual
Prefix:MS
First Name:BEVERLY
Middle Name:MARIE
Last Name:JONES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4664 JAMESTOWN AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-3241
Mailing Address - Country:US
Mailing Address - Phone:678-777-8061
Mailing Address - Fax:225-336-0258
Practice Address - Street 1:2566 SHALLOWFORD RD NE STE 104-118
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-1249
Practice Address - Country:US
Practice Address - Phone:678-578-9629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-31
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALPC # 4213101YP2500X
GA5228101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional