Beverly Jackson

LBN: Drbev Mental Health Counseling Llc
Beverly Jackson is an health care organization with primary practice located at 9800 4Th St N Suite 200, St Petersburg FL 33702-2417. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Drbev Mental Health Counseling Llc can be contacted via phone (203) 695-3015, or through Jackson, Beverly via phone (813) 434-3705.

Contact Information

Primary practice address
9800 4Th St N Suite 200 St Petersburg FL 33702-2417
Phone: (203) 695-3015
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Beverly LMHC
Phone: (813) 434-3705

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1952837478
LBN Legal business name Drbev Mental Health Counseling Llc
DBA Doing business as Beverly Jackson
Authorized official Jackson, Beverly LMHC
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2017
Last updated May 3rd, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952837478 NPPES
Florida MEDICAID 009977500

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