Jackson, Laurie
Jackson, Laurie is an sole proprietor health care provider with primary practice located at 107 Imperial Blvd , Hendersonville TN 37075-3479. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Jackson, Laurie can be contacted via phone (615) 618-5029.Contact Information
Primary practice address
107 Imperial Blvd
Hendersonville TN 37075-3479
Phone: (615) 618-5029
Fax: (615) 757-3152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 9553 | Tennessee |
Profile Details
| NPI number | 1487990149 |
|---|---|
| LBN Legal business name | Jackson, Laurie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2012 |
| Last updated | Aug 12th, 2019 - about 5 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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