OrganizationActive
Ebony C Jackson LLC
NPI 1821470188 · Adolescent and Children Mental Health Clinic/Center · Denham Springs, LA
Provider details
- NPI number
- 1821470188
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ebony Jackson, Social Worker(225) 284-6249
- License
- 9158 (LA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
23791 Southpoint Dr
Denham Springs, LA 70726-6856
Phone: (225) 369-2617
Approximate (ZIP-level) locationGet directions
Mailing address
23791 Southpoint Dr
Denham Springs, LA 70726-6856
Registry dates
- Enumerated
- 2015-06-23
- Last updated
- 2015-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.