Organization
WELLNESS AMBULATORY CARE INC.
Active
Other names
BHG Medical Services Jackson
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEMECE MICHELLE GASAWAY MSW, LMSW (DIRECTOR OF LICENSING)
(214) 365-6126
Entity
Organization
Contact information
Practice address
58 CARRIAGE HOUSE DR STE A, JACKSON, TN 38305-3933
(731) 660-0880
(731) 668-0380
Mailing address
5001 SPRING VALLEY ROAD, SUITE 600 EAST, DALLAS, TX 75244-3946
(214) 365-6126
(214) 365-6150
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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