Organization
JAX BEHAVIORAL HEALTH, LLPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMESA YVETTE ALSTON MS, BCBA,LBA (OWNER/BCBA)
(901) 277-3318
Entity
Organization
Contact information
Practice address
6830 GARMIN LN, CORDOVA, TN 38018-8850
(901) 277-3318
Mailing address
6830 GARMIN LN, CORDOVA, TN 38018-8850
(901) 277-3318
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q067677
—
TN
Enumeration date
07/13/2021
Last updated
08/26/2021
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