Humphries, Jadeshala

Humphries, Jadeshala is an sole proprietor health care provider with primary practice located at 511 Cancun Ct , Statesboro GA 30458-6117. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Humphries, Jadeshala can be contacted via phone (912) 536-8028.

Contact Information

Primary practice address
511 Cancun Ct Statesboro GA 30458-6117
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 013892 Georgia

Profile Details

NPI number 1114610581
LBN Legal business name Humphries, Jadeshala
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2023
Last updated Jul 11th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers