Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EBONY C JACKSON LLC
Active OrganizationEBONY C JACKSON LLC is a Adolescent and Children Mental Health Clinic organization located in DENHAM SPRINGS, Louisiana. NPI 1821470188 is currently active in the NPPES registry. Verify at CMS.
Adolescent and Children Mental Health Clinic · DENHAM SPRINGS, LA
Registration Details
- NPI Number
- 1821470188
- Provider Type
- Organization
- NPI Issued
- Jun 23, 2015 (11.09780707738 yrs)
- Last Updated
- Jun 23, 2015
- License
-
9158 (LA)
Practice Information
- Address
-
23791 SOUTHPOINT DRDENHAM SPRINGS, LA, 707266856Browse LA providers · Browse ZIP 70726
- Phone
- 2253692617
- Primary Specialty
-
Adolescent and Children Mental Health Clinic
261QM0855X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.