Jackson Comprehension Treatment Center
Organization Active NPI Addiction (Substance Use Disorder) Counselor · Jackson, MS
NPI 1003757675 · NPPES record last updated Apr 6, 2026
Key facts
- NPI
- 1003757675
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Legal business name
- JACKSON COMPREHENSION TREATMENT CENTER
- Practice address
- 1935 Lakeland Dr Ste 900
Jackson, MS 39216-5028 - Phone
- (601) 718-2468
- NPI assigned
- Apr 6, 2026
- Organization subpart
- No
Authorized official
- Name
- Mr. Derrick Dewayner Davis, MSW
- Title
- 3C
- Phone
- (601) 718-2468
Practitioners 20
-
Gebria Allen, RN
-
Sheranda Amos, MSW,PCAT,PCMHT
-
Nakesia Ellis, MSN, PMHNP-BC
-
Joshua Goeglein, RN
-
Roy Chester Harness, MSW,PCHMT,PCAT
-
Davin Nisha Harris, LPN
-
Ashley Miller, RN
-
Shaneika Parker, LPN
-
Angela Slater, LPN-230804
-
Michal Sumerall, RN
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | Yes |
Addresses
Primary practice location
1935 Lakeland Dr Ste 900
Jackson, MS 39216-5028
Mailing address
3333 W Northside Dr Lot 17
Clinton, MS 39056-3353
Phone (601) 926-0569
Other providers in Jackson, MS
- Jackson Bone and Joint
- Jackson Brace and Limb Company
- Jackson Cardiology Associates, P.a.
- Jackson Community Pharmacy
- Jackson Community Pharmacy, LLC
- Jackson Ear, Nose and Throat PA
- Jackson Eye Associates PLLC
- Jackson Eye Institute Ambulatory Surgery Center LLC
- Jackson Eye Institute PLLC
- Jackson Family First
All providers in Jackson, MS · Addiction (Substance Use Disorder) Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.