Miss Trinicia Renee Lavon Jackson, LPC - Counselor in Columbia, SC

Miss Trinicia Renee Lavon Jackson, LPC is a Counselor - Mental Health based in Columbia, South Carolina. Miss Trinicia Renee Lavon Jackson is licensed to practice in South Carolina (license number 7802) and her current practice location is 1105 Belleview St Ste 103, Columbia, South Carolina. She can be reached at her office (for appointments etc.) via phone at (803) 250-5570.

NPI number for Miss Trinicia Renee Lavon Jackson is 1033736202 and her current mailing address is 6530 Davidson St Apt C1, Columbia, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033736202.

Contact Information

Miss Trinicia Renee Lavon Jackson, LPC
1105 Belleview St Ste 103,
Columbia, SC 29201-1839
(803) 250-5570
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMiss Trinicia Renee Lavon Jackson
GenderFemale
SpecialityCounselor - Mental Health
Location1105 Belleview St Ste 103, Columbia, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033736202
  • Provider Enumeration Date: 07/02/2020
  • Last Update Date: 09/09/2021

Medical Identifiers

Medical identifiers for Miss Trinicia Renee Lavon Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033736202NPI-NPPES
PC2451MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 7802 (South Carolina)Primary
101YM0800XCounselor - Mental Health 7112 (South Carolina)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Trinicia Renee Lavon Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miss Trinicia Renee Lavon Jackson, LPC
6530 Davidson St Apt C1,
Columbia, SC 29209-1732

Ph: (803) 447-3949
Miss Trinicia Renee Lavon Jackson, LPC
1105 Belleview St Ste 103,
Columbia, SC 29201-1839

Ph: (803) 250-5570

Reviews and Comments


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