# JACKSON BEHAVIORAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306957444
- **Authorized official:** MR. BRADLEY L SCHWEDA LLP (PSYCHOLOGIST)
- **Authorized official phone:** (517) 780-0809

## Contact information

- **Practice address:** 209 E WASHINGTON AVE, SUITE 221, JACKSON, MI 49201-2393
- **Practice address phone:** (517) 780-0809
- **Practice address fax:** (517) 788-5922
- **Mailing address:** 209 E WASHINGTON AVE, SUITE 221, JACKSON, MI 49201-2393
- **Mailing address phone:** (517) 780-0809
- **Mailing address fax:** (517) 788-5922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | 6301010119 | MI | — |
| 103TC0700X | Clinical Psychologist | 6302006268 | MI | — |
| 261QM1300X | Multi-Specialty Clinic/Center | 4301044183 | MI | — |
| 261QM2500X | Medical Specialty Clinic/Center | 4301044183 | MI | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 09/11/2025