JAYVONNA AVERY NPI 1124778188

NPI Information

NPI: 1124778188
Provider Name: JAYVONNA AVERY
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
655 S 23RD ST TRLR 69
BEAUMONT, TX
ZIP 77707
Phone: (409) 658-2139
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Jayvonna Avery is a counselor in Beaumont, TX. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Jayvonna Avery NPI is 1124778188. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

655 S 23RD ST TRLR 69
BEAUMONT, TX
ZIP 77707-836
Phone: (409) 658-2139

The enumeration date for this NPI number is 3/24/2022 and was last updated on 3/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP1600X	Counselor	Pastoral	16719	TEXAS	No
2	101YP2500X	Counselor	Professional	16719	TEXAS	No
3	101Y00000X	Counselor		16719	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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