| Jax Behavioral Health, Llpc | |
|
6830 Garmin Ln Cordova TN 38018-8850 | |
| (901) 277-3318 | |
| Not Available |
| Full Name | Jax Behavioral Health, Llpc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6830 Garmin Ln, Cordova, Tennessee |
| Authorized Official Name and Position | Jamesa Yvette Alston (OWNER/BCBA) |
| Authorized Official Contact | 9012773318 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jax Behavioral Health, Llpc 6830 Garmin Ln Cordova TN 38018-8850 Ph: (901) 277-3318 | Jax Behavioral Health, Llpc 6830 Garmin Ln Cordova TN 38018-8850 Ph: (901) 277-3318 |
| NPI Number | 1265004931 |
|---|---|
| Provider Enumeration Date | 07/13/2021 |
| Last Update Date | 08/26/2021 |
| Certification Date | 08/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265004931 | NPI | - | NPPES |
| Q067677 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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