NPI 1245720473

Jonah's Place Counseling, LLC

Organisation Exclusive Provider Organization Oneonta, AL

Practice location

Address: 28256 State Highway 75 STE C, Oneonta, AL 35121-1659
Phone: (205) 625-3701
Mailing address: PO Box 760, Blountsville, AL 35031-0760

Authorised official

Name: Mary Lynn Smith
Title: Owner, Therapist
Phone: (205) 625-3701

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 3337 (AL)

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Registry record

NPI: 1245720473
Entity type: Organization
NPI issued: 14 May 2018
Record last updated: 14 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.