IREE JACKSON (NPI# 1275991176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275991176 |
| Entity Type | Individual |
| Full Name | IREE JACKSON |
| Credential | LAC |
| Practice Address |
404 E Craig St Tallulah LA 71282-3718 |
| Mailing Address |
815 W Craig Street Tallulah LA 71282 |
| Practice Telephone | 3185744164 |
| Practice Fax Number | 3185744164 |
| Mailing Telephone | 3185744776 |
| Mailing Fax Number | 3185744164 |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
823 | LA | Behavioral Health & Social Service Providers |
| Street Address |
404 E CRAIG ST |
| City | TALLULAH |
| State | LA |
| Zip Code | 71282-3718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336494616 | Delta Community Action Association Inc | Community/Behavioral Health | 404 E Craig St, Tallulah, LA 71282-3718 | 2012-07-23 |
| 1083071971 | Norma Epps | Counselor | 404 E Craig St, Tallulah, LA 71282-3718 | 2016-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211140 | Adonis Williams | Counselor | 410 E Askew Street, Tallulah, LA 71282 | 2020-09-30 |
| 1154957272 | Renewed Path Counseling Services LLC | Community/Behavioral Health | 602 Wood St Suite A, Richmond, LA 71282 | 2020-03-20 |
| 1639632136 | Ljconsulting & Professional Services, LLC | Counselor | 809 Bailey Rd., Tallulah, LA 71282 | 2019-04-11 |
| 1982120937 | Chryl Smith Lee | Counselor | 1705 W Feliciana Ave, Talullah, LA 71282 | 2017-08-21 |
| 1730619347 | Carmen Larae Allen | Counselor | 805 N Beech Street, Tallulah, LA 71282 | 2017-06-15 |
| 1205365665 | Brittney Vontres Scott | Case Manager/Care Coordinator | 1705 Felicia Avenue, Tallulah, LA 71282 | 2017-06-08 |
| 1427500123 | Sharon Jackson | Case Manager/Care Coordinator | 1000 S Elm St, Tallulah, LA 71282 | 2016-10-28 |
| 1982152989 | John Tanner Mcdonald | Pharmacist | 402 East Darrow Street, Tallulah, LA 71282 | 2016-09-19 |
| 1164874350 | Victor Lewis Jr. | Counselor | 1705 Felicia Drive, Tallulah, LOUISIANA 71282 | 2016-07-12 |
| 1356797492 | Keisha Prosser | Case Manager/Care Coordinator | 1705 Felicia Aveune, Tallulah, LA 71282 | 2016-05-08 |
| Find all providers in zip 71282 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211140 | Adonis Williams | Counselor | 410 E Askew Street, Tallulah, LA 71282 | 2020-09-30 |
| 1548538564 | Carla Holmes | Counselor | 604 Kimbrough Ave, Bldg Q, Tallulah, LA 71282 | 2011-12-05 |
| 1487278610 | Melissa Yvette Diggs | Counselor | 410 E Askew St, Tallulah, LA 71282-3706 | 2020-06-03 |
| 1083071971 | Norma Epps | Counselor | 404 E Craig St, Tallulah, LA 71282-3718 | 2016-01-22 |
| 1033582309 | Cynthia Bryan | Counselor | 1705 Felicia Ave, Tallulah, LA 71282-8203 | 2015-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114138 | Thomas Rowan | Counselor | 63069 Hummingbird Ln, Mandeville, LA 70448-7306 | 2020-11-05 |
| 1760089106 | Patricia Riley Mceacharn | Counselor | 161 Coumeaux Rd, Rayville, LA 71269 | 2020-10-08 |
| 1942814389 | Courtney Rayburn | Counselor | 9413 Prestonwood Dr, Shreveport, LA 71115-3733 | 2020-09-02 |
| 1780202127 | Allison Skapik | Counselor | 2700 South Broad St, New Orleans, LA 70125 | 2020-07-13 |
| 1386266922 | Kayla Richards | Counselor | 6201 Venecia Dr, Bossier City, LA 71111-7448 | 2020-05-16 |
| 1659993392 | Eugenia Colthia Washington | Counselor | 336 Lakewood Ave, Breaux Bridge, LA 70517-3235 | 2020-05-15 |
| 1801416060 | Renovo Wellness, LLC | Counselor | 10771 Perkins Rd Ste C, Baton Rouge, LA 70810-1693 | 2020-04-17 |
| 1558999656 | Kindred Counseling | Counselor | 1420 Avenue I, Bogalusa, LA 70427-4955 | 2020-04-01 |
| 1689200073 | Denise Lynn Guillot | Counselor | 10627 Hwy 71, Cheneyville, LA 71325-1325 | 2020-03-17 |
| 1609402098 | Robert Rayford | Counselor | 10627 Us Hwy 71, Cheneyville, LA 71325 | 2020-03-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.