Tedra Nikia Jackson in Dallas - Mental Health
Tedra Nikia Jackson - NPI 1023130176
Tedra Nikia Jackson is a Mental Health in Dallas, Texas. Tedra Nikia Jackson practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Tedra Nikia Jackson is 1023130176. The last update date is 2007-07-08.
Tedra Nikia Jackson's current location address is 3330 S Lancaster Rd, Dallas, Texas. You can contact this provider via phone number 2143716639. The mailing address for Tedra Nikia Jackson is 3330 S Lancaster Rd, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tedra Nikia Jackson |
|---|---|
| Address | 3330 S Lancaster Rd, Dallas, Texas |
| Phone Number | 2143716639 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1023130176 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3330 S Lancaster Rd |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752164531 |
| Phone Number | 2143716639 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Tedra Nikia Jackson by the Centers for Medicare & Medicaid Services?
The Tedra Nikia Jackson has been assigned the NPI (National Provider Identifier) 1023130176 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Tedra Nikia Jackson's physical address?
The Tedra Nikia Jackson is physically located at 3330 S Lancaster Rd, in the city of Dallas, TX, with the postal code 752164531.
What is the area of specialization for Tedra Nikia Jackson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tedra Nikia Jackson is Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 101Ym0800X.
On what date was the 1023130176 assigned to Tedra Nikia Jackson?
The Tedra Nikia Jackson was issued its 1023130176 on 2007-04-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Tedra Nikia Jackson most recently updated or revised?
The details related to Tedra Nikia Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.