Provider Demographics
NPI:1962718965
Name:STONER, JA'MEKIA
Entity type:Individual
Prefix:
First Name:JA'MEKIA
Middle Name:
Last Name:STONER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4616 KIEFER RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40216-2906
Mailing Address - Country:US
Mailing Address - Phone:502-802-7876
Mailing Address - Fax:502-805-0484
Practice Address - Street 1:2303 HURSTBOURNE VILLAGE DR
Practice Address - Street 2:STE. 1100
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-1830
Practice Address - Country:US
Practice Address - Phone:502-802-7876
Practice Address - Fax:502-805-0484
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-27
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0849106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist