MISS BAMBI JACKSON (NPI# 1912474685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912474685 |
| Entity Type | Individual |
| Full Name | MISS BAMBI JACKSON |
| Credential | MSW |
| Practice Address |
8304 Woodiron Dr Duluth GA 30097-3755 |
| Practice Telephone | 7702999752 |
| Mailing Telephone | 7702999752 |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| Street Address |
8304 WOODIRON DR |
| City | DULUTH |
| State | GA |
| Zip Code | 30097-3755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871115337 | Melissa Jean King | Psychologist | 205 W 2nd St Ste 437, Duluth, MN 55802-1922 | 2020-05-07 |
| 1922103712 | Joseph William Wotruba | Psychologist | 714 W College St, Duluth, MN 55811-4906 | 2006-09-14 |
| 1841303179 | Lyn Clark Pegg | Psychologist | 214 W Superior St, Duluth, MN 55802-1904 | 2006-08-17 |
| 1740763085 | Cortney Del Duffy | Psychologist | 715 E Central Entrance, Duluth, MN 55811-5596 | 2018-09-12 |
| 1316337504 | Petra Woehrle | Psychologist | 220 N 6th Ave E, Duluth, MN 55805-1952 | 2015-01-27 |
| 1285741819 | Gregory T Anderson | Psychologist | 214 W Superior St, Skywalk Level, Duluth, MN 55802-1904 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051573 | Latoya Crane | Psychologist | 260 Rock Hill Dr, Fayetteville, GA 30215-4953 | 2020-10-20 |
| 1871100024 | Life Skills Community Center Inc | Psychologist | 2440 Sandy Plains Rd Ste 300, Marietta, GA 30066-7217 | 2020-09-30 |
| 1275140386 | The Worth, Wisdom, and Wellness Center LLC | Psychologist | 1201 W Peachtree St Nw Ste 2330, Atlanta, GA 30309-3453 | 2020-09-23 |
| 1487268744 | Dontavious Ford | Psychologist | 107 Childs St, Stockbridge, GA 30281-3722 | 2020-09-03 |
| 1740893601 | Georgia Mountain Psychological Associates Inc. | Psychologist | 851 Highway 441 S Ste 105, Clayton, GA 30525-5424 | 2020-08-28 |
| 1295345734 | John Myers | Psychologist | 5714 Old National Hwy, College Park, GA 30349-3836 | 2020-08-07 |
| 1376161661 | Bright Minds Psychological Services, Inc | Psychologist | 526 Forest Pkwy Ste C, Forest Park, GA 30297-6140 | 2020-07-13 |
| 1760006035 | Healthy Connections Counseling | Psychologist | 4434 Columbia Rd Ste 202, Martinez, GA 30907-4271 | 2020-06-03 |
| 1578183034 | Stephen Clay Marks | Psychologist | 216 Dogwood Dr, Ellijay, GA 30540-5527 | 2020-04-24 |
| 1376173658 | Marcuetta D. Sims | Psychologist | 2436 Wood Meadows Dr Sw, Marietta, GA 30064-4471 | 2020-01-25 |
| 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.