Provider Demographics
NPI:1336824812
Name:ON THE RIGHT TRACK
Entity Type:Organization
Organization Name:ON THE RIGHT TRACK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JUANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEALS-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-671-2695
Mailing Address - Street 1:5551 LAKESIDE CIR W
Mailing Address - Street 2:
Mailing Address - City:WALLS
Mailing Address - State:MS
Mailing Address - Zip Code:38680-8000
Mailing Address - Country:US
Mailing Address - Phone:166-267-1269
Mailing Address - Fax:
Practice Address - Street 1:5551 LAKESIDE CIR W
Practice Address - Street 2:
Practice Address - City:WALLS
Practice Address - State:MS
Practice Address - Zip Code:38680-8000
Practice Address - Country:US
Practice Address - Phone:166-267-1269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty