CHARLIE JACKSON RMHCI NPI 1548604226

NPI Information

NPI: 1548604226
Provider Name: CHARLIE JACKSON, RMHCI
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1831 N CRYSTAL LAKE DR
LAKELAND, FL
ZIP 33801
Phone: (863) 519-0575
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Charlie Jackson, RMHCI is a mental health counselor in Lakeland, FL. Charlie Jackson, RMHCI NPI is 1548604226. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1831 N CRYSTAL LAKE DR
LAKELAND, FL
ZIP 33801-902
Phone: (863) 519-0575

The enumeration date for this NPI number is 4/24/2013 and was last updated on 4/11/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	IMH16970	FLORIDA	Yes
2	171M00000X	Case Manager/Care Coordinator				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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