Jackson, La Toya
Jackson, La Toya is an sole proprietor health care provider with primary practice located at 180 Water Oak Dr Highland Rivers, Cedartown GA 30125-2095. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jackson, La Toya can be contacted via phone (770) 748-0030.Contact Information
Primary practice address
180 Water Oak Dr Highland Rivers
Cedartown GA 30125-2095
Phone: (770) 748-0030
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 116036 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW004423 | Georgia |
Profile Details
| NPI number | 1588847594 |
|---|---|
| LBN Legal business name | Jackson, La Toya |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2007 |
| Last updated | Mar 28th, 2013 - about 11 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.
Popular Providers
-
Bishop-Collum, Stephanie Leigh
180 Water Oak Dr , Cedartown GA 30125-2095 -
Anderson-Krull, Teresa Mary
216 E Main St , Albert Lea MN 56007-2919 -
Aveni, James Vincent
901 Wallace Blvd Bldg 501, Amarillo TX 79106-1705 -
Roberson, Jackie C
3528 Antioch Rd , Cedartown GA 30125-5910 -
Gray, Arlisha
740 Fletcher St , Cedartown GA 30125-3249 -
Kadet, Jeanne
5244 Lyngate Ct Suite 200, Burke VA 22015-1631 -
Lasher, Amy Nicole
180 Water Oak Dr , Cedartown GA 30125-2095 -
Corkery, Kathleen M
360 Route 101 Ste 10, Bedford NH 03110-5031