DR. STACEY LAJUNE JACKSON (NPI# 1659562692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659562692 |
| Entity Type | Individual |
| Full Name | DR. STACEY LAJUNE JACKSON |
| Other Name | DR. STACEY LAJUNE JACKSON-LAMPLEY |
| Practice Address |
110 Eagles Walk Ste. 100 Stockbridge GA 30281-7204 |
| Practice Telephone | 7705076044 |
| Practice Fax Number | 7705075284 |
| Mailing Telephone | 7705076044 |
| Mailing Fax Number | 7705075284 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PSY003073 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
| 1134645674 | Stacey Jackson | Nurse Practitioner | 1604 Hospital Pkwy Ste 100, Bedford, TX 76022-5913 | 2017-08-16 |
| 1508301292 | Stacey Jackson | Registered Nurse | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2017-01-04 |
| 1669828224 | Stacey Renee Jackson | Nurse Practitioner | 906 W Randol Mill Rd, Arlington, TX 76012-2510 | 2016-05-12 |
| 1497142459 | Stacey Ann Jackson | Nurse Practitioner | 1010 Central Avenue, Suite 2, Billings, MT 59102 | 2015-04-16 |
| 1760807234 | Stacey Renea Jackson | Counselor | 619 N Main St, Muskogee, OK 74401-4431 | 2014-02-20 |
| 1477849826 | Stacey Jo Jackson | Specialist | 17 S Central Ave, Idabel, OK 74745-4625 | 2011-06-23 |
| 1790926905 | Stacey L. Jackson | Counselor | 191 Memorial Dr, Pacolet, SC 29372-2255 | 2009-03-18 |
| 1578722278 | Stacey Marie Jackson | Physical Therapy Assistant | 4680 Cordata Pkwy, Bellingham, WA 98226-8038 | 2008-06-06 |
| 1457470726 | Stacey A Jackson | Pharmacist | 3301 Gordon Dr, Sioux City, IA 51105-3708 | 2007-03-28 |
| Street Address |
110 EAGLES WALK STE. 100 |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-7204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093868903 | Medlin Treatment Center Inc | Psychologist | 110 Eagles Walk, Ste. 100, Stockbridge, GA 30281-7204 | 2007-01-22 |
| 1740411610 | Lashanna Newton | Counselor | 110 Eagles Walk, Ste 100, Stockbridge, GA 30281-7204 | 2009-07-27 |
| 1285857789 | Candace Devon Allen-staten | Psychologist | 110 Eagles Walk, Suite 100, Stockbridge, GA 30281-7204 | 2007-04-11 |
| 1598988040 | Melvina Alexis Norwood | Psychologist | 110 Eagles Walk, Ste. 100, Stockbridge, GA 30281-7204 | 2007-04-11 |
| 1477696243 | Tammy Coots | Psychologist | 110 Eagles Walk, Suite 100, Stockbridge, GA 30281-7204 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268744 | Dontavious Ford | Psychologist | 107 Childs St, Stockbridge, GA 30281-3722 | 2020-09-03 |
| 1265664825 | Jennifer Anne Durham-fowler | Psychologist | 25 Main Street, Stockbridge, MA 01262-0962 | 2009-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051573 | Latoya Crane | Psychologist | 260 Rock Hill Dr, Fayetteville, GA 30215-4953 | 2020-10-20 |
| 1871100024 | Life Skills Community Center Inc | Psychologist | 2440 Sandy Plains Rd Ste 300, Marietta, GA 30066-7217 | 2020-09-30 |
| 1275140386 | The Worth, Wisdom, and Wellness Center LLC | Psychologist | 1201 W Peachtree St Nw Ste 2330, Atlanta, GA 30309-3453 | 2020-09-23 |
| 1740893601 | Georgia Mountain Psychological Associates Inc. | Psychologist | 851 Highway 441 S Ste 105, Clayton, GA 30525-5424 | 2020-08-28 |
| 1295345734 | John Myers | Psychologist | 5714 Old National Hwy, College Park, GA 30349-3836 | 2020-08-07 |
| 1376161661 | Bright Minds Psychological Services, Inc | Psychologist | 526 Forest Pkwy Ste C, Forest Park, GA 30297-6140 | 2020-07-13 |
| 1760006035 | Healthy Connections Counseling | Psychologist | 4434 Columbia Rd Ste 202, Martinez, GA 30907-4271 | 2020-06-03 |
| 1578183034 | Stephen Clay Marks | Psychologist | 216 Dogwood Dr, Ellijay, GA 30540-5527 | 2020-04-24 |
| 1376173658 | Marcuetta D. Sims | Psychologist | 2436 Wood Meadows Dr Sw, Marietta, GA 30064-4471 | 2020-01-25 |
| 1649819749 | Samelhia Marie Thompson | Psychologist | 511 Rowland Rd, Stone Mountain, GA 30083-4540 | 2020-01-06 |
| Find all providers with the same taxonomy | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
Please comment or provide details below to improve the information on DR. STACEY LAJUNE JACKSON.
| 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.