# PREGNANCY AND PEDIATRIC REFERRAL SERVICES

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

## Provider details

- **NPI number:** 1861366411
- **Authorized official:** MELISSA ADRIENNE JACKSON ADRIENNE JACKSON LCSW-S (OWNER/CASE MANAGER)
- **Authorized official phone:** (346) 902-4478

## Contact information

- **Practice address:** 4114 SHACKLETON CT, IOWA COLONY, TX 77583-1534
- **Practice address phone:** (346) 902-4478
- **Mailing address:** 4114 SHACKLETON CT, IOWA COLONY, TX 77583-1534
- **Mailing address phone:** (346) 902-4478

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | — | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 10/06/2025
- **Last updated:** 09/14/2026