Provider Demographics
NPI:1487127510
Name:MAYS, JAMIE (LCDC)
Entity type:Individual
Prefix:MISS
First Name:JAMIE
Middle Name:
Last Name:MAYS
Suffix:
Gender:F
Credentials:LCDC
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:
Other - Last Name:HAYES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5846 ELM VALLEY DR APT 2
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78242-1741
Mailing Address - Country:US
Mailing Address - Phone:210-409-8078
Mailing Address - Fax:
Practice Address - Street 1:3701 W COMMERCE ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-3611
Practice Address - Country:US
Practice Address - Phone:210-434-0531
Practice Address - Fax:210-434-0321
Is Sole Proprietor?:No
Enumeration Date:2019-01-11
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)