Morris Jackson, Que'Ana Lache
Morris Jackson, Que'Ana Lache is an individual health care provider with primary practice located at 931 Monroe Dr Ne Ste A102-450 , Atlanta GA 30308-1793. She recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Poetry Therapist, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Driver, Other Service Providers / Health Educator, Other Service Providers / Naturopath, Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Adult Companion, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Morris Jackson, Que'Ana Lache can be contacted via phone (404) 789-4079.Contact Information
Primary practice address
931 Monroe Dr Ne Ste A102-450
Atlanta GA 30308-1793
Phone: (404) 789-4079
Fax: (877) 833-3855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Poetry Therapist | 102X00000X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Other Service Providers / Driver | 172A00000X | ||
| Other Service Providers / Health Educator | 174H00000X | ||
| Other Service Providers / Naturopath | 175F00000X | ||
| Nursing Service Related Providers / Chore Provider | 372500000X | ||
| Nursing Service Related Providers / Adult Companion | 372600000X | ||
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1972856805 |
|---|---|
| LBN Legal business name | Morris Jackson, Que'Ana Lache |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2012 |
| Last updated | Apr 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972856805 | NPPES |
| Georgia | MEDICAID | 1972856805 |
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