MS. LAVONNA WINFREDA OWENS-JACKSON LPC CCM NPI 1891439337

NPI Information

NPI: 1891439337
Provider Name: MS. LAVONNA WINFREDA OWENS-JACKSON, LPC, CCM
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1192 ROCKBRIDGE RD STE A
STONE MOUNTAIN, GA
ZIP 30087
Phone: (770) 925-2010
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MS. Lavonna Winfreda Owens-jackson, LPC, CCM is a professional counselor in Stone Mountain, GA. MS. Lavonna Winfreda Owens-jackson, LPC, CCM NPI is 1891439337. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1192 ROCKBRIDGE RD STE A
STONE MOUNTAIN, GA
ZIP 30087-923
Phone: (770) 925-2010

The enumeration date for this NPI number is 4/21/2022 and was last updated on 4/21/2022.

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	101YP2500X	Counselor	Professional	LPC008416	GEORGIA	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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