Jackson Behavioral Health Services LLC

Clinical Social Worker · Richton Park, IL

Organization Active NPI

NPI number 1063046498

Practice location

4137 Sauk Trl Ste 146
Richton Park, IL 60471-1253
Phone
(708) 983-8074

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NPI record

NPI
1063046498
Entity type
Organization (Type 2)
Enumeration date
February 25, 2020
Last updated
February 25, 2020
Certified
February 25, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X — —

Authorized official

Name
Addison Jackson Jr., LCSW
Title
Director
Phone
(708) 983-8074

About Jackson Behavioral Health Services LLC

Jackson Behavioral Health Services LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 4137 Sauk Trl Ste 146, Richton Park, IL 60471-1253. The NPI number 1063046498 was assigned on February 25, 2020 and the record was last updated on February 25, 2020.

The authorized official for this organization is Addison Jackson Jr., LCSW, Director.

Frequently asked questions

What is the NPI number of Jackson Behavioral Health Services LLC?

The NPI number is 1063046498.

What is the phone number of Jackson Behavioral Health Services LLC?

The phone number listed for the practice location is (708) 983-8074.

Where is Jackson Behavioral Health Services LLC located?

4137 Sauk Trl Ste 146, Richton Park, IL 60471-1253.

What is the taxonomy code for Jackson Behavioral Health Services LLC?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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