Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Dynasty Jackson, NBHWC, LBSW

Individual provider Health & Wellness Coach · NPI 1508597725

Mrs. Dynasty Jackson, NBHWC, LBSW is a Health & Wellness Coach in Birmingham, Alabama. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2022

Practice location Address checks out

110 12th St N
Birmingham, AL 35203-1537
Phone: (855) 255-2362
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health & Wellness Coach (primary) Taxonomy 171400000X · Licence 3167787 (AL)

Record details

NPI number1508597725
Entity typeIndividual (Type 1)
GenderFemale
Credentials NBHWC , LBSW
Sole proprietorYes
NPI enumeratedJune 20, 2022
Last updated in NPPESJune 20, 2022
Certification dateJune 20, 2022

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