JENNIFER WENTZ MEADOR


Address: 1708 County Road 32, Jachin, AL 36910-3210
Phone: 6786411477

JENNIFER WENTZ MEADOR (NPI# 1306314661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306314661
Entity Type Individual
Full Name JENNIFER WENTZ MEADOR
Credential MS, LPC, NCC, BC-TMH
Practice Address 1708 County Road 32
Jachin
AL 36910-3210
Practice Telephone 6786411477
Mailing Telephone 6786411477
Enumeration Date 2018-11-05
Last Update Date 2019-10-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor 657081 Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
2420 MS Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
3973 AL Behavioral Health & Social Service Providers
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

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Office Location

Street Address 1708 COUNTY ROAD 32
City JACHIN
State AL
Zip Code 36910-3210

Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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City JACHIN
Zip Code 36910

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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