HEATHER JACKSON MS LMHC LLC NPI 1013364132

NPI Information

NPI: 1013364132
Provider Name: HEATHER JACKSON, MS, LMHC, LLC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
256 CARSON OAKS LN
SANTA ROSA BEACH, FL
ZIP 32459
Phone: (850) 974-1793
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HEATHER JACKSON, MS, LMHC, LLC is a counselor in Santa Rosa Beach, FL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. HEATHER JACKSON, MS, LMHC, LLC NPI is 1013364132. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

256 CARSON OAKS LN
SANTA ROSA BEACH, FL
ZIP 32459-149
Phone: (850) 974-1793

The provider's authorized official is Heather Jackson .
The authorized official title is President and has the following contact phone number (850) 974-1793.

The enumeration date for this NPI number is 5/18/2016 and was last updated on 5/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		MH 14095	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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