Jackson Innovations Pllc

LBN: Jackson Innovations Pllc
Jackson Innovations Pllc is an health care organization with primary practice located at 20700 Civic Center Dr Suite 170, Southfield MI 48076-4140. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Jackson Innovations Pllc can be contacted via phone (248) 569-9846, or through Jackson, Gaynella via phone (248) 569-9846.

Contact Information

Primary practice address
20700 Civic Center Dr Suite 170 Southfield MI 48076-4140
Phone: (248) 569-9846
Fax: (248) 569-1919
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Gaynella LMSW
Phone: (248) 569-9846

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801059515 Michigan

Profile Details

NPI number 1750405734
LBN Legal business name Jackson Innovations Pllc
DBA Doing business as
Authorized official Jackson, Gaynella LMSW
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2007
Last updated Aug 22nd, 2020 - about 6 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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