Provider Demographics
NPI:1619630852
Name:MORROW, JAMIA (LPC)
Entity type:Individual
Prefix:
First Name:JAMIA
Middle Name:
Last Name:MORROW
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1987 ROUND RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:LITHIA SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30122-3670
Mailing Address - Country:US
Mailing Address - Phone:202-292-8491
Mailing Address - Fax:
Practice Address - Street 1:5701 MABLETON PKWY SW STE 201
Practice Address - Street 2:
Practice Address - City:MABLETON
Practice Address - State:GA
Practice Address - Zip Code:30126-3364
Practice Address - Country:US
Practice Address - Phone:470-869-2175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-14
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC14265101YP2500X, 101YM0800X, 101YA0400X
GALPC013272101YP2500X, 101YA0400X, 101YM0800X
MDLGP11839101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)