Provider Demographics
NPI:1598567364
Name:DEAN, JA'MONICA
Entity type:Individual
Prefix:
First Name:JA'MONICA
Middle Name:
Last Name:DEAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2684 PRESTON DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30034-1308
Mailing Address - Country:US
Mailing Address - Phone:678-633-0819
Mailing Address - Fax:
Practice Address - Street 1:960 N POINT PKWY STE 450
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-9021
Practice Address - Country:US
Practice Address - Phone:470-231-0528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health