Provider Demographics
NPI:1053944066
Name:LEMON, JANICE C (PHD, LPC-S)
Entity type:Individual
Prefix:DR
First Name:JANICE
Middle Name:C
Last Name:LEMON
Suffix:
Gender:F
Credentials:PHD, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 BEECHTREE LN
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MS
Mailing Address - Zip Code:39073-8246
Mailing Address - Country:US
Mailing Address - Phone:601-594-1060
Mailing Address - Fax:
Practice Address - Street 1:128 BEECHTREE LN
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MS
Practice Address - Zip Code:39073-8246
Practice Address - Country:US
Practice Address - Phone:601-594-1060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-18
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS0941101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health