Organization
JACKSON HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER RENEE GOOLSBY MA, LPC, NCC, CPT-C (MASTER CLINICICAN)
(517) 581-4710
Entity
Organization
Contact information
Practice address
720 W FRANKLIN ST, JACKSON, MI 49201-1674
(734) 726-4038
(517) 905-5906
Mailing address
2020 CASCADE DR, JACKSON, MI 49203-3810
(517) 581-4710
(517) 905-5906
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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