EBONY C JACKSON LLC (NPI# 1821470188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821470188 |
Entity Type | Organization |
Organization Name | EBONY C JACKSON LLC |
Practice Address |
23791 Southpoint Dr Denham Springs LA 70726-6856 |
Practice Telephone | 2253692617 |
Mailing Telephone | 2253692617 |
Enumeration Date | 2015-06-23 |
Last Update Date | 2015-06-23 |
Authorized Official Name | MISS EBONY CONERLY JACKSON (SOCIAL WORKER) |
Authorized Official Telephone | 2252846249 |
Authorized Official Credential | LCSW, BACS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
9158 | LA | Ambulatory Health Care Facilities |
Street Address |
23791 SOUTHPOINT DR |
City | DENHAM SPRINGS |
State | LA |
Zip Code | 70726-6856 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730564279 | Ebony Conerly Jackson | Social Worker | 23791 Southpoint Dr, Denham Springs, LA 70726-6856 | 2015-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801402433 | Hiv/aids Alliance for Region Two, Inc. | Clinic/Center | 30789 N Range Avenue, Denham Springs, LA 70726 | 2020-09-18 |
1306456231 | Jinci Strahan | Registered Nurse | 24495 La-16, Denham Springs, LA 70726 | 2020-08-05 |
1568085058 | Bailey Brumley | Case Manager/Care Coordinator | 106 Business Park Ave, Denham Springs, LA 70726 | 2020-05-19 |
1518527977 | Papa's Farmacia Via Luzianna LLC | Pharmacy | 25831 Walker South Rd Ste 1, Denham Springs, LA 70726 | 2019-06-18 |
1265995807 | Michael Jacob Efferson | Counselor | 303 Veteran Blvd, Denham Springs, LA 70726 | 2019-04-10 |
1477031524 | Melissa Sepeda | Social Worker | 1110 South Range Ave, Denham Springs, LA 70726 | 2018-07-31 |
1215420633 | Tiffany Summers | Counselor | 30826 Linder Road, Denham Springs, LA 70726 | 2018-06-11 |
1588194377 | Kenneth Joseph Williams | Counselor | 26055 Burlwood Ave., Denham Springs, LA 70726 | 2017-06-14 |
1780130369 | Bonnie Pettyjohn | Counselor | 25560 Oak Hill Rd, Denham Springs, LA 70726 | 2016-09-01 |
1053769794 | Southeast Community Health Systems | Clinic/Center | 25753 Walker Road South, Denham Springs, LA 70726 | 2016-06-02 |
Find all providers in zip 70726 |
Taxonomy Code | 261QM0855X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adolescent and Children Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
Notes: [7/1/2003: new] |
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1114552841 | Journey To Awareness Counseling, LLC | Clinic/Center | 4266 W Main St Ste 109, Gray, LA 70359-6421 | 2020-03-03 |
1538708326 | Satorry Mczeal | Clinic/Center | 2618 Acacia St, New Orleans, LA 70122-5916 | 2019-12-27 |
1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
1669997698 | Fleur Des Maisons | Clinic/Center | 2223 Franklin Ave, New Orleans, LA 70117-6929 | 2017-08-10 |
1285093922 | Live Oak Behavioral Health Group, L.L.C. | Clinic/Center | 7084 Cemetary Hwy, At Live Oak Landing, Saint Martinville, LA 70582-7900 | 2016-02-22 |
1598135535 | Abundant Care Center | Clinic/Center | 12855 Castle Hill Dr, Baton Rouge, LA 70814-7426 | 2015-10-02 |
1598180275 | Peep Inc. | Clinic/Center | 1411 Orange St, Monroe, LA 71202-2323 | 2014-03-04 |
1093092694 | H & B Caring | Clinic/Center | 1009 Clara St, Jennings, LA 70546-5129 | 2011-11-10 |
1821225996 | Emerson Centre, Inc. | Clinic/Center | 301 E Alabama Ave, Ruston, LA 71270-3981 | 2009-06-16 |
1992950828 | Metropolitan Circles, LLC | Clinic/Center | 90 Melrose Ave, Natchitoches, LA 71457-5926 | 2008-11-19 |
Find all providers with the same taxonomy |
City | DENHAM SPRINGS |
Zip Code | 70726 |
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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.