Organization
YNH THERAPIST, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTANIQUE JACKSON LCSW (FOUNDER)
(313) 695-6244
Entity
Organization
Contact information
Practice address
24306 CHIPPEWA ST, DETROIT, MI 48219-1058
(313) 695-6244
Mailing address
24306 CHIPPEWA ST, DETROIT, MI 48219-1058
(313) 695-6244
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
02/16/2026
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