WHITNEY JACKSON LAC NPI 1720694250

NPI Information

  • NPI: 1720694250
  • Provider Name: WHITNEY JACKSON, LAC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 2213 N REYNOLDS RD STE 1
    BRYANT, AR
    ZIP 72022
  • Phone: (501) 847-0081

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NPI Details

Whitney Jackson, LAC is a mental health counselor in Bryant, AR. Whitney Jackson, LAC NPI is 1720694250. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2213 N REYNOLDS RD STE 1
BRYANT, AR
ZIP 72022-501
Phone: (501) 847-0081
Fax: (501) 847-6905

The enumeration date for this NPI number is 9/21/2020 and was last updated on 2/14/2023.

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
1101YM0800XCounselorMental HealthA2302025ARKANSASYes

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: 3/30/2025

NPI Synchronization or Removal

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