Provider Demographics
NPI:1124815683
Name:JONES, AMY M
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:M
Last Name:JONES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:M
Other - Last Name:JACKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2925 WILDFLOWER LN
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-4076
Mailing Address - Country:US
Mailing Address - Phone:804-618-9589
Mailing Address - Fax:
Practice Address - Street 1:5026 SNAPFINGER WOODS DR STE 108
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30035-4048
Practice Address - Country:US
Practice Address - Phone:470-236-0389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor