Doctor Name: | JAMI L. IVEY |
NPI Number: | 1083797211 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, CADC |
License Number: | |
Business Practice Address: | 920 University St Martin, TN - 382371605 |
Business Phone Number: | 7315885829 |
Business Fax Number: | 7315885837 |
Mailing Address: | 920 University St, MARTIN |
State: | TN |
Postal Code: | 382371605 |
Phone Number: | 7315885829 |
Fax Number: | 7315885834 |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 07/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |