EUNA JYLES (NPI# 1417314725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417314725 |
| Entity Type | Individual |
| Full Name | EUNA JYLES |
| Other Name | EUNA RENE SMITH |
| Credential | MHP, MHT, & BHT |
| Practice Address |
860 E River Pl Jackson MS 39202 |
| Mailing Address |
214 Leonard Rd Lot F Tylertown MS 39667-6643 |
| Practice Telephone | 6013980045 |
| Mailing Telephone | 6013419158 |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2019-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MS | Behavioral Health & Social Service Providers | |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 915 Washington St, Franklinton, LA 704381718 | 9853222026 |
| Street Address |
860 E RIVER PL |
| City | JACKSON |
| State | MS |
| Zip Code | 39202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417501693 | Latanya Cork | Counselor | 860 E River Pl, Jackson, MS 39202-3442 | 2019-07-26 |
| 1215594064 | Nakisha Feaster | Social Worker | 860 E River Pl, Jackson, MS 39202-3442 | 2019-05-28 |
| 1760944201 | Martina Henderson | Counselor | 860 E River Pl, 100, Jackson, MS 39202 | 2019-04-03 |
| 1447733100 | Skyla D Mitchell | Case Manager/Care Coordinator | 860 E River Pl, Jackson, MS 39202-3442 | 2018-09-10 |
| 1275050015 | Jamela Kentoyia Mcinnis | Social Worker | 860 E River Pl, Jackson, MS 39202-3442 | 2017-08-23 |
| 1598291429 | Devorah Thomas | Case Manager/Care Coordinator | 860 E River Pl, Suite 100, Jackson, MS 39202-3442 | 2017-05-11 |
| 1962943340 | Morgan Brown | Social Worker | 860 E River Pl, Suite 100, Jackson, MS 39202-3442 | 2017-03-17 |
| 1265973655 | Lakeisha Bryant | Counselor | 860 E River Pl, Suite 100, Jackson, MS 39202-3442 | 2017-03-17 |
| 1396196879 | Mississippi Behavioral Health Services, LLC | Community/Behavioral Health | 860 E River Pl, Suite 100, Jackson, MS 39202-3442 | 2016-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
| 1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
| 1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
| 1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
| 1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
| 1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
| 1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
| 1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
| 1902027428 | Jennifer Anne Warren | Dietitian, Registered | 1225 North State Street, Jackson, MS 39202 | 2007-05-01 |
| Find all providers in zip 39202 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677893 | Jackson Healing Clinic LLC | Counselor | 2020 Cascade Dr, Jackson, MI 49203-3810 | 2020-10-20 |
| 1568069524 | Philip Ray Nicholas | Counselor | 19 Wood Duck Cv, Jackson, TN 38305-6632 | 2020-10-02 |
| 1184242711 | New Life Goals, LLC | Counselor | 504 Cooper Rd, Jackson, MS 39212-4704 | 2020-07-09 |
| 1548881048 | Gloria Dansby-giles | Counselor | 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 | 2020-05-06 |
| 1962023812 | Kandace Ross | Counselor | 528 Woodbury Rd, Jackson, MS 39206-4830 | 2020-05-01 |
| 1629600945 | Modern Hope of Ms,llc | Counselor | 5825 Kings Pl, Jackson, MS 39211-3321 | 2020-02-05 |
| 1003447657 | Chandler & Associates, LLC | Counselor | 1900 Dunbarton Dr Ste G, Jackson, MS 39216-5015 | 2020-02-03 |
| 1659910701 | Laura E Rutledge | Counselor | 1437 Old Square Rd Ste 101, Jackson, MS 39211-5533 | 2020-01-06 |
| 1154960961 | Timothy A Norris | Counselor | 5026 Raintree Dr, Jackson, MS 39272-5753 | 2019-12-26 |
| 1982243838 | Paula Jane Blocker | Counselor | 401 West St Ste 117, Jackson, MN 56143-1219 | 2019-12-24 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.