Provider Demographics
NPI:1922826304
Name:MARIENA JONES, LLC
Entity type:Organization
Organization Name:MARIENA JONES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIENA
Authorized Official - Middle Name:CELENE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:810-335-1710
Mailing Address - Street 1:17 PALLISTER ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-2416
Mailing Address - Country:US
Mailing Address - Phone:810-335-1710
Mailing Address - Fax:
Practice Address - Street 1:17 PALLISTER ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-2416
Practice Address - Country:US
Practice Address - Phone:810-335-1710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health