LIFEWORKS BEHAVIORAL HEALTH INC (NPI# 1952629198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952629198 |
| Entity Type | Organization |
| Organization Name | LIFEWORKS BEHAVIORAL HEALTH INC |
| Practice Address |
174 Murray Guard Dr Suite B Jackson TN 38305-3742 |
| Practice Telephone | 7316600199 |
| Practice Fax Number | 7316603650 |
| Mailing Telephone | 7316600199 |
| Mailing Fax Number | 7316603650 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2012-03-05 |
| Authorized Official Name | MR. PERRY B PRATT (OWNER) |
| Authorized Official Telephone | 7316600199 |
| Authorized Official Credential | LPC/MHSP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
APRN11898 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LPC2718 | TN | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC813 | TN | Behavioral Health & Social Service Providers |
| Street Address |
174 MURRAY GUARD DR SUITE B |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-3742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033118633 | Kelvin Wren | Preventive Medicine | 174 Murray Guard Dr, Suite D, Jackson, TN 38305-3742 | 2005-07-18 |
| 1437750791 | Deborah Ann Bellinghausen | Social Worker | 174 Murray Guard Dr, Jackson, TN 38305-3742 | 2020-11-03 |
| 1710597307 | Laura Freeman | Marriage & Family Therapist | 174 Murray Guard Dr, Jackson, TN 38305-3742 | 2020-08-07 |
| 1295363182 | The Pratt Clinic, Inc. | Clinic/Center | 174 Murray Guard Dr, Jackson, TN 38305-3742 | 2020-03-28 |
| 1356617401 | Creekside Center for Depression and Tms | Counselor | 174 Murray Guard Dr, Suite B, Jackson, TN 38305-3742 | 2012-03-22 |
| 1326215070 | Michelle Dawn Hickerson | Nurse Practitioner | 174 Murray Guard Dr, Suite A, Jackson, TN 38305-3742 | 2008-05-13 |
| 1710104146 | Perry B Pratt | Counselor | 174 Murray Guard Dr, Suite B, Jackson, TN 38305-3742 | 2007-04-19 |
| 1043358617 | Occutran Treatment Center, Plc | Preventive Medicine | 174 Murray Guard Dr, Suite D, Jackson, TN 38305-3742 | 2007-02-03 |
| 1588759500 | Jackson Pulmonary Care, Pa | Internal Medicine | 174 Murray Guard Dr, Suite A, Jackson, TN 38305-3742 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902411663 | Kristen Camille Kapler | Counselor | 3899 Division Rd, Jackson, WI 53037-9707 | 2020-09-10 |
| 1992339071 | Open Door Family Counseling | Counselor | 316 S Brown St Ste A, Jackson, MI 49203-1481 | 2020-02-27 |
| 1891334108 | Jamie Alane Merrill | Counselor | 1214 Greenwood Ave, Jackson, MI 49203-3037 | 2020-01-03 |
| 1285273078 | Hall Consulting Services LLC | Counselor | 1155 Briarwood Dr, Jackson, MS 39211-4204 | 2019-12-27 |
| 1114496387 | New Direction Counseling Center, LLC | Counselor | 1200 N West Ave Ste 809, Jackson, MI 49202-2196 | 2018-11-17 |
| 1811490964 | Lifeworks Resources, LLC | Counselor | 575 S Royal St Ste 24, Jackson, TN 38301-7307 | 2018-03-15 |
| 1912409764 | Impact Behavioral Counseling LLC | Counselor | 1551 E County Line Rd Ste B, Jackson, MS 39211-1801 | 2018-03-07 |
| 1831697317 | Denise June Johnson | Counselor | 906 Lincoln St, Jackson, MI 49202-3251 | 2018-01-30 |
| 1033626031 | Heather R. Chruch | Counselor | 180 W Michigan Ave Ste 204, Jackson, MI 49201-1342 | 2017-12-29 |
| 1861908337 | Matthew T Tompkins | Counselor | 810 E Jackson Blvd Ste B1, Jackson, MO 63755-2400 | 2017-12-20 |
| Find all providers in JACKSON | ||||
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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.