Jackson Family Therapy and Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

JACKSON FAMILY THERAPY AND COUNSELING

Practice address

2117 Hamby Cove Dr, NW
Acworth, GA 30102

Phone

(334) 707-2634

NPI assigned

Sep 1, 2016

Last updated

Sep 22, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tommy Eugene Jackson II, PH.D

Title

Owner

Phone

(334) 707-2634

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1215484860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 HAMBY COVE DR NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301026493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 HAMBY COVE DR, NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "30102",
            "telephone_number": "334-707-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON FAMILY THERAPY AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-707-2634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Isbell, PMHNP-BC
• Destiny Murray Isbell, DMD
• J Chappell MD PC (Acworth Procedural Dermatology)
• J&F Solutions Management Group, LLC. (Mobility Cares)
• Kevin Justin Jablonsky, RNFA
• Heather Jackson, MS, CCC-SLP
• Mary Sonya Jackson
• Channelle Ananda Jacques-Louis
• Shirley May James, LMT
• Stephanie Jameson

• Community/Behavioral Health Agency in Acworth, GA
• Providers in Acworth, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.