Jemeille Ackourey, LPC
Individual provider Active NPI Professional Counselor · Phoenix, AZ
NPI 1285830463 · NPPES record last updated Jul 16, 2009
Key facts
- NPI
- 1285830463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC-13218 (AZ)
- Practice address
- 301 E Bethany Home Rd
Suite C296
Phoenix, AZ 85012-1263 - Phone
- (602) 621-3702
- NPI assigned
- Jun 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-13218 | AZ | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-13218 | AZ | Yes |
Addresses
Primary practice location
301 E Bethany Home Rd
Suite C296
Phoenix, AZ 85012-1263
Mailing address
301 E Bethany Home Rd
Suite C296
Phoenix, AZ 85012-1263
Phone (602) 621-3702
Other providers in Phoenix, AZ
- William Acker
- Joel J Ackerman
- Lindsay Skye Ackerman
- Sonia S. Ackerman
- Rebecca Acklin
- Acoma Behavioral Health LLC
- Acome Home LLC
- Michael Paul Acord
- Acorn USA Inc
- Acorn USA Inc
All providers in Phoenix, AZ · Professional Counselor in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.