MEDICARE: AHRIELLE JACKSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	68117	TX
2	101YM0800X	Mental Health Counselor	68117	TX

General Provider Information

NPI Number	:	1083233316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AHRIELLE JACKSON

Provider Business Mailing Address
First Line	:	700 SMITH ST # 61070
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-2714
Country	:	US
Telephone Number	:	817-369-5528
Fax Number	:

Provider Business Practice Location Address
First Line	:	5341 THRESHING DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76179-8147
Country	:	US
Telephone Number	:	910-545-4189
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2020
Last Update Date	:	08/12/2024

Similar Medicare Providers

1033932603 — ROSAURA VASQUEZ HENRIQUEZ RBT
Practice Location Address:

4115 MILNER CIR APT 103
LAKE WORTH, FL
33463-8147

Practice Phone: 561-444-6115
Practice Fax:

1366392177 — COMPASSIONATE HANDS HOME CARE SERVICES, LLC
Practice Location Address:

6420 SPRING RANCH DR
FORT WORTH, TX
76179-7771

Practice Phone: 817-975-6080
Practice Fax:

1427567775 — SASHELLY GARCIA M.S., CCC-SLP
Practice Location Address:

3348 PEDEN RD STE 403
FORT WORTH, TX
76179-5569

Practice Phone: 817-217-7019
Practice Fax:

1780533398 — THERAPY STREET PLLC
Practice Location Address:

3348 PEDEN RD STE 403
FORT WORTH, TX
76179-5569

Practice Phone: 817-217-7019
Practice Fax:

1437412210 — SUSAN M OGDEN-MCKEE PA
Practice Location Address:

4524 W BAILEY BOSWELL RD
FORT WORTH, TX
76179-4319

Practice Phone: 817-720-9685
Practice Fax:

1316886179 — BREANNA M WHEELER
Practice Location Address:

2941 EDGERTON RD
FORT WORTH, TX
76179-2289

Practice Phone: 682-209-9793
Practice Fax: 682-209-9793

Directions to “ AHRIELLE JACKSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.