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

Takelia Jackson

Individual provider Professional Counselor · NPI 1114528957

Takelia Jackson is a Professional Counselor in Smyrna, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2020

Practice location Address checks out

2875 Spring Villa Ln SE
Smyrna, GA 30080-3644
Phone: (678) 592-1680
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC011682 (GA)

Record details

NPI number1114528957
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 6, 2020
Last updated in NPPESAugust 13, 2021
Certification dateAugust 13, 2021
Mailing address2875 Spring Villa Ln Se, Smyrna, GA 30080-3644

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