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WYATT & JACKSON CENTER FOR CHANGE, LLC
NPI 1801316807
Counselor - Mental Health in Jackson, MS

Active since June 21, 2017
2637 RIDGEWOOD ROAD SUITE 100, JACKSON, MS 39216(601) 981-8846(601) 981-8873 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 21, 2017 (2 updates tracked since 2017).

About Wyatt & Jackson Center For Change, Llc NPPES

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

WYATT & JACKSON CENTER FOR CHANGE, LLC (NPI 1801316807) is a healthcare organization registered as a mental health in Jackson, Mississippi and active in the NPI registry since June 2017. The organization lists Mollie L. Wyatt, Owner, as its authorized official.

NPPES Registry Identity

NPI1801316807
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameWYATT & JACKSON CENTER FOR CHANGE, LLC
Location Address2637 RIDGEWOOD ROAD SUITE 100Jackson, MS 39216
Mailing Address2637 Ridgewood Rd Ste 100Jackson, MS 39216-4922 · (601) 981-8846 · Fax (601) 981-8873
Phone(601) 981-8846
Fax(601) 981-8873
Organization SubpartNo
Authorized OfficialMollie L. WyattOwner · (601) 981-8846
Enumeration DateJune 21, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1801316807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2637 RIDGEWOOD ROAD SUITE 100, Jackson, MS 39216
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Wyatt & Jackson Center For Change, LLC's NPI number?

The NPI number for Wyatt & Jackson Center For Change, LLC is 1801316807. It was assigned to this organization in the NPPES registry on June 21, 2017.

Where is Wyatt & Jackson Center For Change, LLC located?

Wyatt & Jackson Center For Change, LLC is located at 2637 Ridgewood Road Suite 100, Jackson, MS 39216. The listed phone number is (601) 981-8846.

What is Wyatt & Jackson Center For Change, LLC'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 Wyatt & Jackson Center For Change, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.