Jackson, Ebony
Jackson, Ebony is an individual health care provider with primary practice located at 11510 Homestead Rd Ste 500 , Houston TX 77016-1239. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Health Educator, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Jackson, Ebony can be contacted via phone (281) 736-0806.Contact Information
Primary practice address
11510 Homestead Rd Ste 500
Houston TX 77016-1239
Phone: (281) 736-0806
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
Other Service Providers / Health Educator | 174H00000X | 794 | Texas |
Other Service Providers / Community Health Worker | 172V00000X | 794 | Texas |
Profile Details
NPI number | 1336749597 |
---|---|
LBN Legal business name | Jackson, Ebony |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 27th, 2020 |
Last updated | Jun 30th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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