Jackson, Tayanna I

Jackson, Tayanna I is an sole proprietor health care provider with primary practice located at 2490 Lee Blvd Ste 103 , Cleveland Heights OH 44118-1255. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Jackson, Tayanna I can be contacted via phone (216) 835-5212.

Contact Information

Primary practice address
2490 Lee Blvd Ste 103 Cleveland Heights OH 44118-1255
Phone: (216) 835-5212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Ohio
Other Service Providers / Community Health Worker 172V00000X Ohio

Profile Details

NPI number 1245716646
LBN Legal business name Jackson, Tayanna I
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2018
Last updated Jul 18th, 2018 - about 6 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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