| Natasha V Jackson, | |
|
180 Sheppard Rd Ste 115, Jackson, MS 39206-4033 | |
| (601) 813-6141 | |
| Not Available |
| Full Name | Natasha V Jackson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 180 Sheppard Rd Ste 115, Jackson, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952641805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | C8125 (Mississippi) | Primary |
| 1041C0700X | Social Worker - Clinical | C8125 (Mississippi) | Secondary |
| Entity Name | Newstart Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588072698 PECOS PAC ID: 8628299799 Enrollment ID: O20141015001437 |
| Entity Name | Sud Specialty Group - Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370 |
| Mailing Address | Practice Location Address |
|---|---|
| Natasha V Jackson, 455 Crossgates Blvd Apt 226, Brandon, MS 39042-2560 Ph: (601) 813-6141 | Natasha V Jackson, 180 Sheppard Rd Ste 115, Jackson, MS 39206-4033 Ph: (601) 813-6141 |
Mrs. Denease Inez Bishop, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1855 Lakeland Dr, Suite P101, Jackson, MS 39216 Phone: 601-278-6790 |
Robert Caleb Cauthen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1513 Lakeland Dr, Jackson, MS 39216 Phone: 769-777-1000 |
Diane Lois Sanford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 860 E River Pl Ste 100, Jackson, MS 39202 Phone: 769-251-5550 |
Jamaal Murriel, MS,PCAT, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1935 Lakeland Dr, Jackson, MS 39216 Phone: 601-718-2468 |
Cheryl Marie Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 341 Edgewood Terrace Dr, Jackson, MS 39206 Phone: 601-487-6344 Fax: 601-398-0289 |
Mr. Dennis Morgan Hydrick Jr., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1465 Lakeland Dr, Jackson, MS 39216 Phone: 601-573-8548 Fax: 601-968-0021 |
Sharon L Terry, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 888-815-2005 Fax: 601-815-0434 |