Provider Demographics
NPI:1982902052
Name:JONES OUTREACH SERVICES, LLP
Entity Type:Organization
Organization Name:JONES OUTREACH SERVICES, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LATEETA
Authorized Official - Middle Name:LANETTE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:CSAC
Authorized Official - Phone:919-434-6935
Mailing Address - Street 1:229 N ARENDELL AVE
Mailing Address - Street 2:
Mailing Address - City:ZEBULON
Mailing Address - State:NC
Mailing Address - Zip Code:27597-2603
Mailing Address - Country:US
Mailing Address - Phone:919-951-5370
Mailing Address - Fax:866-571-9531
Practice Address - Street 1:229 N ARENDELL AVE
Practice Address - Street 2:
Practice Address - City:ZEBULON
Practice Address - State:NC
Practice Address - Zip Code:27597-2603
Practice Address - Country:US
Practice Address - Phone:919-951-5370
Practice Address - Fax:866-571-9531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-14
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC251S00000XMedicaid
NC251B00000XMedicaid