1356762777 NPI number — JONES & JONES ASSOCIATES, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356762777 NPI number — JONES & JONES ASSOCIATES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JONES & JONES ASSOCIATES, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
BEHAVIORAL HEALTH COUNSELING SERVICE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356762777
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/28/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1711 E CENTRAL TEXAS EXPY
Provider Second Line Business Mailing Address:
STE 302
Provider Business Mailing Address City Name:
KILLEEN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76541-9166
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
254-200-0083
Provider Business Mailing Address Fax Number:
254-200-0084

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1711 E CENTRAL TEXAS EXPY
Provider Second Line Business Practice Location Address:
STE 302
Provider Business Practice Location Address City Name:
KILLEEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76541-9166
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-200-0083
Provider Business Practice Location Address Fax Number:
254-200-0084
Provider Enumeration Date:
01/02/2014

Additional Information

Authorized Official

Authorized Official Last Name:
JONES
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
L
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
254-200-0083

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  33139 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1041CO700X . This is a "BEHAVIORAL HEALTH CARE PROVIDER CLINICAL" identifier . This identifiers is of the category "OTHER".




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