Provider Demographics
NPI:1871151050
Name:WARREN JONES LMFT
Entity type:Organization
Organization Name:WARREN JONES LMFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MDIV
Authorized Official - Phone:478-742-2953
Mailing Address - Street 1:781 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-1720
Mailing Address - Country:US
Mailing Address - Phone:478-742-2953
Mailing Address - Fax:478-257-7914
Practice Address - Street 1:781 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-1720
Practice Address - Country:US
Practice Address - Phone:478-742-2953
Practice Address - Fax:478-257-7914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-03
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1770656183OtherNPI SOLE PROPRIETOR
GA0OtherNOT A MEDICARE PROVIDER