Provider Demographics
NPI:1629886759
Name:B-YOURBEST WOMEN'S WELLNESS & CHRISTIAN COUNSELING, LLC
Entity type:Organization
Organization Name:B-YOURBEST WOMEN'S WELLNESS & CHRISTIAN COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:STEFANI
Authorized Official - Middle Name:M
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:301-523-9917
Mailing Address - Street 1:1531 ROCKVILLE PIKE STE 1043
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-1601
Mailing Address - Country:US
Mailing Address - Phone:301-284-8176
Mailing Address - Fax:
Practice Address - Street 1:880 SUNNY LAKE DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-4562
Practice Address - Country:US
Practice Address - Phone:301-284-8176
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty