Individual provider · Type 1 NPI

Lavila D. Jackson

Community/Behavioral Health Agency · Columbia, MD

NPI number 1639855836 Active

Practice location

7090 Samuel Morse Dr Ste 100
Columbia, MD 21046-3444

Call (443) 852-7036 Map

Mailing address

6246 Heather Glen Way
Clarksville, MD 21029-1175

Other practice locations

2811 Pennsylvania Ave SE, Washington, DC 20020-3865 · (202) 894-6811

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed
Counselor	101Y00000X	None listed
Case Manager/Care Coordinator	171M00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

740 other providers at this address

About NPI 1639855836

Lavila D. Jackson's National Provider Identifier is 1639855836, issued on Jun 23, 2023. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Columbia, MD. The record was last updated on Oct 15, 2024.