Healthcare Provider Details

I. General information

NPI: 1508786591
Provider Name (Legal Business Name): AVA JACKSON MHC-LP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 PICCADILLY CT
NEWBURGH NY
12550-2435
US

IV. Provider business mailing address

1441 BROADWAY FL 5
NEW YORK NY
10018-1879
US

V. Phone/Fax

Practice location:
  • Phone: 718-772-7623
  • Fax:
Mailing address:
  • Phone: 646-389-0611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number18-P134324-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: