Provider Demographics
NPI:1205417755
Name:ALANA JACKSON AND ASSOCIATIONS
Entity Type:Organization
Organization Name:ALANA JACKSON AND ASSOCIATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCADC
Authorized Official - Prefix:
Authorized Official - First Name:ALANA
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCADC, CPC, MAC
Authorized Official - Phone:702-738-3395
Mailing Address - Street 1:2510 E SUNSET RD # 5-74
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-3511
Mailing Address - Country:US
Mailing Address - Phone:702-738-3395
Mailing Address - Fax:
Practice Address - Street 1:8760 S MARYLAND PKWY STE 101
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-6709
Practice Address - Country:US
Practice Address - Phone:702-738-3395
Practice Address - Fax:702-368-6269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-16
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty