Jasmine Fontenot-harrell, LMFT is a
Marriage & Family Therapist based in Hiram, Georgia. Jasmine Fontenot-harrell is licensed to practice in Georgia (license number MFT001658) and her current practice location is
6737 Bill Carruth Pkwy Apt 6133, Hiram, Georgia. She can be reached at her office (for appointments etc.) via phone at
(678) 787-8971.
NPI number for Jasmine Fontenot-harrell is 1366912198 and her current mailing address is 6737 Bill Carruth Pkwy Apt 6133, Hiram, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366912198.
Healthcare Provider's Profile
Full Name | Jasmine Fontenot-harrell |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 6737 Bill Carruth Pkwy Apt 6133, Hiram, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366912198
- Provider Enumeration Date: 12/05/2018
- Last Update Date: 12/05/2018
Medical Identifiers
Medical identifiers for Jasmine Fontenot-harrell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366912198 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | MFT001658 (Georgia) | Secondary |
106H00000X | Marriage & Family Therapist | MFT001658 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jasmine Fontenot-harrell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jasmine Fontenot-harrell, LMFT 6737 Bill Carruth Pkwy Apt 6133, Hiram, GA 30141-3784 Ph: () - | Jasmine Fontenot-harrell, LMFT 6737 Bill Carruth Pkwy Apt 6133, Hiram, GA 30141-3784 Ph: (678) 787-8971 |
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