MRS. BRENDA RENE JACKSON


Address: 1555 E Flamingo Rd, Ste. # 158, Las Vegas, NV 89119-5258
Phone: 7023859097

MRS. BRENDA RENE JACKSON (NPI# 1578972600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578972600
Entity Type Individual
Full Name MRS. BRENDA RENE JACKSON
Practice Address 1555 E Flamingo Rd
Ste. # 158
Las Vegas
NV 89119-5258
Practice Telephone 7023859097
Enumeration Date 2014-08-01
Last Update Date 2014-08-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

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Office Location

Street Address 1555 E FLAMINGO RD
STE. # 158
City LAS VEGAS
State NV
Zip Code 89119-5258

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184693962 Sharon Brenda Landers Internal Medicine 1555 E Flamingo Rd, Las Vegas, NV 89119-5261 2006-03-15
1811443062 Maureen Kelly Counselor 1555 E Flamingo Rd, Suite 158, Las Vegas, NV 89119-5258 2016-08-28
1407210719 Charlotte Toder Counselor 1555 E Flamingo Rd, Las Vegas, NV 89119-5258 2016-04-12
1710364732 Chakyra Smith-olson Counselor 1555 E Flamingo Rd, Las Vegas, NV 89119-5258 2015-04-28
1720475387 Wellness, Redemption, & Rehabilitation Program (wrrp), Inc. Voluntary or Charitable 1555 E Flamingo Rd, 158, Las Vegas, NV 89119-5258 2015-04-22
1457747651 Necole Smith Counselor 1555 E Flamingo Rd, Las Vegas, NV 89119-5258 2015-04-14
1265828263 Summer Easley Counselor 1555 E Flamingo Rd, Las Vegas, NV 89119-5258 2015-04-07
1992197529 Jade-lee Maisano Counselor 1555 E Flamingo Rd, #158, Las Vegas, NV 89119-5258 2015-02-18
1760873095 Nanette Angelique Otis Counselor 1555 E Flamingo Rd, 158, Las Vegas, NV 89119-9305 2015-02-09
1528459971 Carmen Newton Counselor 1555 E Flamingo Rd, Las Vegas, NV 89119-5258 2015-02-06
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Providers in the same zip code

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City LAS VEGAS
Zip Code 89119

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Dataset Information

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.

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