WHITNEY JACKSON
NPI 1588047369
Counselor - Mental Health in Atlanta, GA

The NPI number for Whitney Jackson is 1588047369. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

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

The NPPES record for Whitney Jackson was last updated on June 30, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 30, 2015

2302 PARKLAKE DR NE STE 350, ATLANTA, GA 30345(770) 621-0469(770) 621-0466 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Whitney Jackson NPPES

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

WHITNEY JACKSON (NPI 1588047369) is an individual mental health provider in Atlanta, Georgia and active in the NPI registry since June 2015.

NPI1588047369

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameWHITNEY JACKSON

Location Address2302 PARKLAKE DR NE STE 350Atlanta, GA 30345-2918

Mailing Address2302 Parklake Dr Ne Ste 350Atlanta, GA 30345-2918 · (770) 621-0469 · Fax (770) 621-0466

Fax(770) 621-0466

Sole ProprietorNo

Enumeration DateJune 30, 2015

✔ NPI 1588047369 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

2302 PARKLAKE DR NE STE 350, Atlanta, GA 30345

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

Counselor (Professional)