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AUDREY JACKSON PCNHT
NPI 1366209264
Counselor - Mental Health in Laurel, MS

Active since March 06, 2024
1721 W 10TH ST, LAUREL, MS 39440(601) 425-9322(601) 425-3231 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Audrey Jackson Pcnht NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUDREY JACKSON PCNHT (NPI 1366209264) is an individual mental health provider in Laurel, Mississippi, licensed in Mississippi (5805) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1366209264
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAUDREY JACKSONCredential: PCNHT
Location Address1721 W 10TH STLaurel, MS 39440-2540
Mailing AddressPo Box 18679Hattiesburg, MS 39404-8679 · (601) 705-1901 · Fax (601) 705-1952
Phone(601) 425-9322
Fax(601) 425-3231
Sole ProprietorNo
Enumeration DateMarch 6, 2024
NPPES CertifiedMarch 6, 2024
✔ NPI 1366209264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MS · 5805
1721 W 10TH ST, Laurel, MS 39440
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AKELLA WHITE
Counselor
1721 W 10TH ST
LAUREL, MS 39440
Jones County (601) 425-9322
MARI JOHNSON
Counselor (Mental Health)
1721 W 10TH ST
LAUREL, MS 39440
Jones County (601) 425-9322
AMANDA TURNER CMHT
Counselor
1721 W 10TH ST
LAUREL, MS 39440
Jones County (601) 425-9322
TASHANA DANIELS PCCSS
Counselor
1721 W 10TH ST
LAUREL, MS 39440
Jones County (601) 425-9322
CASEY KEITH LMFTA
Marriage & Family Therapist
1721 W 10TH ST
LAUREL, MS 39440
Jones County (601) 425-9322
VILOICE POSEY CMHT
Counselor
1721 W 10TH ST
LAUREL, MS 39440
Jones County (601) 425-9322
BEVERLY STRONG LMSW
Social Worker
1721 W 10TH ST
LAUREL, MS 39440
Jones County (601) 425-9322
SONJA FLOURNOY CMHT
Counselor (Mental Health)
1721 W 10TH ST
LAUREL, MS 39440
Jones County (601) 425-9322

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Audrey Jackson's NPI number?

The NPI number for Audrey Jackson is 1366209264. It was assigned to this individual provider in the NPPES registry on March 6, 2024.

Where is Audrey Jackson located?

Audrey Jackson practices at 1721 W 10th St, Laurel, MS 39440. The listed phone number is (601) 425-9322.

What is Audrey Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Audrey Jackson was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.