C Michaela Jacks LLC
C Michaela Jacks LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Pittsburgh, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2018.
- Licensed in
- PA
- In the registry since
- 2018
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1789 S Braddock Ave Ste 350Pittsburgh, PA 15218-1871
Phone: (412) 213-8425
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X · Licence MF000999 (PA) |
|---|
Record details
| NPI number | 1144718172 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Crystal Jacks — Sole Member · (412) 213-8425 |
| NPI enumerated | April 25, 2018 |
| Last updated in NPPES | May 1, 2018 |
| Mailing address | 1789 S Braddock Ave Ste 350, Pittsburgh, PA 15218-1871 |
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