Wyatt & Jackson Center For Change, Llc

LBN: Wyatt & Jackson Center For Change, Llc
Wyatt & Jackson Center For Change, Llc is an health care organization with primary practice located at 2637 Ridgewood Road Suite 100 , Jackson MS 39216. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Wyatt & Jackson Center For Change, Llc can be contacted via phone (601) 981-8846, or through Wyatt, Mollie L. via phone (601) 981-8846.

Contact Information

Primary practice address
2637 Ridgewood Road Suite 100 Jackson MS 39216
Phone: (601) 981-8846
Fax: (601) 981-8873
Website:
Map and Directions
Authorized official contact:
Name: Wyatt, Mollie L. PH.D.
Phone: (601) 981-8846

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1801316807
LBN Legal business name Wyatt & Jackson Center For Change, Llc
DBA Doing business as
Authorized official Wyatt, Mollie L. PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2017
Last updated Jul 21st, 2022 - about 2 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.

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