# JAE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Happy Mama Place
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376088435
- **Authorized official:** MS. JESSICA ANN ENRIQUEZ LMT (DOULA/LICENSED MASSAGE THERAPIST)
- **Authorized official phone:** (570) 299-9247

## Contact information

- **Practice address:** 512 NORTHHAMPTON STREET, EDWARDSVILLE, PA 18704
- **Practice address phone:** (570) 212-9520
- **Mailing address:** 827 STOCKTON MOUNTAIN RD, BEAVER MEADOWS, PA 18216-6505
- **Mailing address phone:** (570) 299-9246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225700000X | Massage Therapist | MSG006829 | PA | — |
| 374J00000X | Doula | — | — | Yes |

## Other

- **Enumeration date:** 12/28/2016
- **Last updated:** 12/28/2016