The Satori Program

LBN: Jackson Psychotherapy, Llc
The Satori Program is an health care organization with primary practice located at 901 Kentucky St Ste 306 , Lawrence KS 66044-2858. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Jackson Psychotherapy, Llc can be contacted via phone (816) 377-7398, or through Jackson, Reginald C. via phone (816) 377-7398.

Contact Information

Primary practice address
901 Kentucky St Ste 306 Lawrence KS 66044-2858
Phone: (816) 377-7398
Fax: (816) 873-1364
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Reginald C. LSCSW, LCSW
Phone: (816) 377-7398

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1154846533
LBN Legal business name Jackson Psychotherapy, Llc
DBA Doing business as The Satori Program
Authorized official Jackson, Reginald C. LSCSW, LCSW
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2017
Last updated Jul 21st, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154846533 NPPES
Kansas MEDICAID 200629810C

Popular Providers