Organization
JAMI IVEY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMI IVEY LCSW (PRESIDENT)
(270) 887-8744
Entity
Organization
Contact information
Practice address
1609 JULIE ST, UNION CITY, TN 38261-6013
(270) 887-8744
Mailing address
1609 JULIE ST, UNION CITY, TN 38261-5925
(270) 887-8744
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0805
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
1202
TN
1041C0700X
Clinical Social Worker
1586
KY
1041C0700X
Clinical Social Worker
Primary
6162
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100391890
—
KY
Enumeration date
05/03/2016
Last updated
04/29/2021
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