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Ebony C Jackson Llc
Adolescent and Children Mental Health Clinic/Center in Denham Springs, Louisiana
NPI 1821470188

Ebony C Jackson Llc is an Adolescent and Children Mental Health Clinic/Center based in Denham Springs, LA and is specialized in Adolescent and Children Mental Health. Ebony C Jackson Llc practices in Denham Springs, LA. The NPI Number for Ebony C Jackson Llc is 1821470188 and holds a License No. 9158 (Louisiana).

The current practice location address for Ebony C Jackson Llc is 23791 Southpoint Dr, Denham Springs, LA and can be reached out via phone at 225-369-2617.

Location: 23791 Southpoint Dr, Denham Springs, LA, 70726-6856
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821470188
Provider Name
Ebony C Jackson Llc
Credential
Provider Entity Type
Organization
Address
23791 Southpoint Dr, Denham Springs, LA, 70726-6856
Phone Number
225-369-2617
Fax Number
Provider Enumeration Date
06/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
23791 Southpoint Dr
City
Denham Springs
State
Louisiana
Zip
70726-6856
Phone Number
225-369-2617
Fax Number
person
Provider Business Mailing Address Details
Address
23791 Southpoint Dr
City
Denham Springs
State
Louisiana
Zip
70726-6856
Phone Number
225-369-2617
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
9158 (Louisiana)
Definition
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.
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