Individual provider · Type 1 NPI

Jhameyah J. Theodore, LPN

Counselor · Laurel, MS

NPI number 1386567303 Active

Practice location

934 West Dr
Laurel, MS 39440-4702

Call (601) 426-7520 Map

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X339789 (MS)

Counselor: 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.

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About NPI 1386567303

Jhameyah J. Theodore, LPN's National Provider Identifier is 1386567303, issued on Aug 4, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Laurel, MS. The record was last updated on Aug 4, 2026.