KE'ARRAH JACKSON
NPI 1356894919
Counselor - Professional in Gray, LA
Active since August 01, 2016
About Ke'arrah Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KE'ARRAH JACKSON (NPI 1356894919) is an individual professional provider in Gray, Louisiana and active in the NPI registry since August 2016. She maintains a secondary practice location in Houma.
NPPES Registry Identity
NPI1356894919
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKE'ARRAH JACKSON
Location Address4266 WEST MAIN STREET SUITE 100Gray, LA 70359
Mailing Address157 Natalie Park DrThibodaux, LA 70301-8439 · (985) 360-8199
Phone(985) 360-8199
Sole ProprietorYes
Enumeration DateAugust 1, 2016
Last NPPES UpdateJune 26, 20232 updates tracked since enumeration
NPPES CertifiedJune 26, 2023
✔ NPI 1356894919 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselorTaxonomy 101Y00000X
4266 WEST MAIN STREET SUITE 100, Gray, LA 70359
Secondary Practice Location 1
Location 1441 Idlewild Dr Apt AHouma, LA 70364-1416 · Phone (985) 360-8199
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, HMO Louisiana.Insurance ›
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356894919, enumerated as an "individual" on August 01, 2016.
The provider is located at 4266 WEST MAIN STREET SUITE 100 GRAY, LA 70359 and the phone number is (985) 360-8199.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: AmeriHealth Caritas Next and HMO Louisiana. Please consult your insurance carrier or call the provider to verify.
