Provider Demographics
NPI:1366956849
Name:MEANS, JENAIS YVONNE (LPC)
Entity type:Individual
Prefix:MS
First Name:JENAIS
Middle Name:YVONNE
Last Name:MEANS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3443 BUMGARDNER CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-2812
Mailing Address - Country:US
Mailing Address - Phone:803-814-5573
Mailing Address - Fax:
Practice Address - Street 1:4201 N MAIN ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-5863
Practice Address - Country:US
Practice Address - Phone:803-814-5573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-20
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7325101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty